ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Term newborn
Question 1 of 5
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: C
Rationale: Making a loud noise above the newborn elicits the Moro reflex, characterized by arm extension and crying, indicating neurological health.
Extract:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 2 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.
Extract:
Newborn scheduled to start phototherapy using a lamp
Question 3 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield is critical during phototherapy to prevent eye damage from the bright lights. This is a standard intervention to protect the newborn's vision.
Extract:
Client at 20 weeks of gestation with type 1 diabetes mellitus
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A BUN of 25 mg/dL is elevated (normal 7-20 mg/dL) and may indicate renal impairment, which is concerning in a pregnant client with type 1 diabetes and should be reported.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.