ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn whose mother had a 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 commonly causes hearing loss. Cataracts, urinary tract infections, and macrosomia are not typical manifestations.
Extract:
A client to induce labor
Question 2 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying informed consent ensures ethical administration of dinoprostone. Avoiding urination, room temperature, or semi-Fowler's position are unnecessary.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 3 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A full-term newborn upon admission to the nursery
Question 4 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: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common and typically benign in newborns.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia
Question 5 of 5
A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate is used in preeclampsia to prevent seizures (eclampsia). It doesn't stabilize fetal heart rate, improve perfusion, or increase cardiac output.