ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Full-term newborn
Question 1 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:
Newborn scheduled to start phototherapy using a lamp
Question 2 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield is critical during phototherapy to prevent eye damage from the bright lights. This is a standard intervention to protect the newborn's vision.
Extract:
Client with pelvic inflammatory disease, weight 132 lbs
Question 3 of 5
A nurse is preparing to administer gentamicin to a client with pelvic inflammatory disease. The prescribed dosage is 2 mg/kg IM. The client weighs 132 lbs. Available is gentamicin injection with a concentration of 40 mg/mL. How many mL of gentamicin should the nurse administer?
Correct Answer: B
Rationale: Converting 132 lbs to 60 kg (132 ÷ 2.2), the dose is 2 mg/kg × 60 kg = 120 mg. At 40 mg/mL, 120 mg ÷ 40 mg/mL = 3 mL, so the nurse administers 3 mL.
Extract:
Client with gestational diabetes mellitus
Question 4 of 5
A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Glyburide is an oral hypoglycemic used to manage gestational diabetes when diet and lifestyle are insufficient, as it helps control blood glucose without crossing the placenta significantly.
Extract:
Client in active labor testing positive for group B streptococcus
Question 5 of 5
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus S-hemolytic. Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is administered intravenously during labor to prevent transmission of group B streptococcus to the newborn, reducing the risk of neonatal sepsis.