ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Full-term newborn upon admission to 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: A single palmar crease may be associated with chromosomal disorders like Down syndrome, requiring further evaluation and reporting to the provider.
Extract:
Client with uterine atony post-delivery, unresponsive to oxytocin
Question 2 of 5
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration. The nurse should anticipate the use of which of the following medications?
Correct Answer: B
Rationale: Methylergonovine is used to treat uterine atony unresponsive to oxytocin by promoting uterine contractions to control postpartum hemorrhage.
Extract:
Newborn with leaking myelomeningocele
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection through the leaking myelomeningocele, a priority to protect the newborn from meningitis.
Extract:
Newborn whose mother had primary cytomegalovirus (CMV) infection during pregnancy
Question 4 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:
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.