ATI RN
ATI Maternal Newborn 2019 Exam 3 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: D
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary infections are not typical CMV manifestations.
Extract:
A 5-day-old male newborn at home
Question 2 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: A
Rationale: Urine output less than six times daily signals dehydration, requiring pediatrician notification. Antibiotic ointment, tight swaddling, and foreskin retraction are incorrect.
Extract:
A newborn who was exposed to cocaine in utero
Question 3 of 5
A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cocaine exposure causes CNS irritability, leading to a high-pitched cry. Hypotonicity, reduced startle, or large head circumference are not typical.
Extract:
A 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis
Question 4 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and carries risks, requiring education. Age limits, immediate scheduling, or chorionic sampling are incorrect.
Extract:
A client who is at 30 weeks of gestation
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines?
Correct Answer: C,D
Rationale: Tdap (27-36 weeks) protects against pertussis, and influenza vaccine prevents severe flu in pregnancy. HPV, varicella, and MMR are contraindicated during pregnancy.