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 heart is best heard in the left lower quadrant, where the fetal back is located, maximizing the point of impulse.
Extract:
Newborn whose mother had primary cytomegalovirus (CMV) infection during pregnancy
Question 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: Congenital CMV infection commonly causes hearing loss in newborns, along with potential vision impairment and developmental delays, but not macrosomia, urinary tract infections, or cataracts.
Extract:
Full-term newborn
Question 3 of 5
A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 72/min is significantly below the normal range of 120-160 beats per minute for a newborn, indicating potential bradycardia that requires immediate reporting.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 4 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.
Extract:
Client in second trimester concerned about preparing 2-year-old for new sibling
Question 5 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Requiring scheduled interactions between the toddler and baby fosters familiarity and inclusion, helping the toddler adjust positively to the new sibling.