ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client in active labor, contractions started 1 hr ago, 80% effaced, 8 cm dilated
Question 1 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Rapid labor increases postpartum hemorrhage risk due to potential uterine atony. Ectopic pregnancy, incompetent cervix, and hyperemesis are unrelated to active labor.
Extract:
A newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL, mother has type 2 diabetes mellitus
Question 2 of 5
A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A glucose of 65 mg/dL is normal; reassessing before the next feeding monitors for hypoglycemia, common in infants of diabetic mothers. Feeding, dextrose, or serum tests are unnecessary.
Extract:
A newborn who was exposed to cocaine in utero
Question 3 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Cocaine exposure often causes a high-pitched cry due to neurological irritability. Hypotonicity, increased head circumference, and decreased startle response are not typical.
Extract:
A newborn
Question 4 of 5
A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Using an automatic puncture device on the heel ensures a safe, controlled depth to collect capillary blood. Puncturing the inner heel risks bone damage, cleansing after is incorrect (it's before), and ice is unnecessary.
Extract:
A newborn following delivery
Question 5 of 5
A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Applying identification bands first ensures safety and prevents misidentification. Eye ointment, vitamin K, and weight can follow.