ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn whose mother had primary cytomegalovirus (CMV) infection during pregnancy
Question 1 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:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 2 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Postpartum client with type 1 diabetes mellitus breastfeeding newborn
Question 3 of 5
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?
Correct Answer: C
Rationale: Maintaining scheduled mealtimes helps stabilize blood glucose levels, which is critical for a breastfeeding client with type 1 diabetes to prevent hypoglycemia.
Extract:
Newborn 4 hr old
Question 4 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:
Postpartum client with 5-day-old male newborn
Question 5 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Notifying the pediatrician if the newborn urinates less than six times a day is important, as it may indicate dehydration, requiring prompt evaluation.