ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn 4 hr old
Question 1 of 5
A nurse is assessing a newborn who is 4 hr old. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: Overlapping cranial bones may indicate craniosynostosis, a condition that can lead to increased intracranial pressure and requires immediate reporting for further evaluation.
Extract:
Client with maternal hypotension post-epidural
Question 2 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.
Extract:
Client with pudendal nerve block
Question 3 of 5
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
Correct Answer: C
Rationale: Fetal bradycardia is a potential adverse effect of a pudendal nerve block, as the anesthesia may affect fetal heart rate, requiring close monitoring.
Extract:
Postpartum client
Question 4 of 5
A nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement, causing firm and tender breasts 3-5 days post-delivery, is a normal occurrence, and clients should be informed to expect this change.
Extract:
Newborn nursery staff learning about maternal cytomegalovirus
Question 5 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: D
Rationale: CMV transmission can occur through newborn saliva and urine, requiring contact precautions, not airborne, and no genital lesions or acyclovir are associated.