ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn whose mother had gestational diabetes mellitus
Question 1 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes, due to rapid drops in blood glucose after birth.
Extract:
Client in active labor receiving oxytocin with internal fetal heart monitor showing early deceleration
Question 2 of 5
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Early decelerations are benign, caused by fetal head compression during contractions, and do not indicate distress, so continuing to monitor the client is appropriate.
Extract:
Client with maternal hypotension post-epidural
Question 3 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:
Full-term newborn
Question 4 of 5
A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 72/min is significantly below the normal range of 120-160 beats per minute for a newborn, indicating potential bradycardia that requires immediate reporting.
Extract:
Newborn 1 hour old with respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1° C (97° F)
Question 5 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1° C (97° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying a cap to the newborn's head helps conserve heat in a mildly hypothermic newborn (36.1°
C), supporting thermal regulation in the first hours after birth.