ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Newborn following circumcision
Question 1 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: Chin quivering is a facial expression indicating pain in newborns, unlike decreased heart rate or slowed respirations, which are not typical pain responses.
Rationale:
Extract:
Client in labor, reports increasing rectal pressure, contractions 2 to 3 min apart, lasting 80 to 90 seconds, cervix dilated to 9 cm
Question 2 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: The transition phase occurs when the cervix is dilated from 8 to 10 cm, with strong contractions every 2 to 3 minutes, lasting 80 to 90 seconds, and increasing rectal pressure due to fetal descent, as seen with the client's 9 cm dilation.
Rationale:
Extract:
Newborn who is 12 hr old
Question 3 of 5
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?
Correct Answer: Substernal chest retractions while sleeping indicate respiratory distress, requiring intervention to assess and address potential respiratory issues.
Rationale:
Extract:
Client in active labor, 7 cm cervical dilation, 100% effacement, fetus at 1+ station, amniotic membranes intact, sudden urge to push
Question 4 of 5
A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?
Correct Answer: Having the client pant during contractions prevents premature pushing at 7 cm dilation, reducing the risk of cervical trauma or rapid fetal descent.
Rationale:
Extract:
Newborn who is 24 hr old
Question 5 of 5
A nurse is reviewing the laboratory report of a newborn who is 24 hr old. Which of the following results should the nurse report to the provider?
Correct Answer: A blood glucose level of 30 mg/dL is significantly low, indicating hypoglycemia, which requires immediate reporting to prevent neurologic complications in the newborn.
Rationale: