ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 1 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.
Extract:
2-day-old newborn born at 35 weeks with Escherichia coli infection, necrotizing enterocolitis, Hgb 10g/dL, platelet count 50,000 mm, WBC count 4,000 mm3, oxygen saturation 90%, shallow respirations 70/min, rigid extremities, grimacing, irritability, decreased activity, abdominal distension, three bloody stools, superficial rash on abdominal wall, fist clenching on palpation
Question 2 of 5
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse should insert an orogastric decompression tube with low wall suction to relieve abdominal distention caused by necrotizing enterocolitis, reducing pain and preventing further complications.
Extract:
Newborn whose mother had gestational diabetes mellitus
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes, due to rapid drops in blood glucose after birth.
Extract:
Client with pudendal nerve block
Question 4 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Newborn with breast tissue that has a flat areola with no bud
Question 5 of 5
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: B
Rationale: A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development correlates with gestational age, and the lack of a breast bud indicates prematurity.