ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A full-term newborn upon admission to the nursery
Question 1 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: C
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common and typically benign in newborns.
Extract:
A postpartum client who is experiencing uterine atony
Question 2 of 5
A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
Correct Answer: A,B,C,D
Rationale: Correct sequence: Position client (
A), place hands (
B), massage fundus (
C), observe bleeding (
D) to stimulate contractions and monitor hemorrhage.
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 3 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 client who has hyperemesis gravidarum
Question 4 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: C
Rationale: Urine ketones detect ketosis from starvation due to severe vomiting in hyperemesis gravidarum. Rapid plasma reagin screens for syphilis, prothrombin time assesses clotting, and urine culture checks for infection, none specific to hyperemesis.
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 5 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: A one-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep is tested at 35-37 weeks, rubella titer and blood type/Rh are done early in pregnancy.