ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client during her first prenatal visit, reports March 20 as her last menstrual period
Question 1 of 5
A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery.
Correct Answer: A
Rationale: Using Nägele's Rule: March 20 plus 7 days is March 27, minus 3 months is December 27 (1227). Other dates are incorrect based on the calculation.
Extract:
A newborn who has exstrophy of the bladder
Question 2 of 5
A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction?
Correct Answer: C
Rationale: Covering the bladder with a sterile, non-adherent dressing protects the exposed tissue. Fluid restriction is unnecessary, side-lying doesn't help, and pressure risks damage.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 3 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 4 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.
Extract:
A client who is pregnant and follows a vegan diet
Question 5 of 5
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
Correct Answer: A
Rationale: Cooked broccoli provides significant calcium for vegans (~60 mg/cup). Bananas, avocados, and potatoes have minimal calcium.