ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is in labor and whose membranes ruptured 6 hr ago
Question 1 of 5
A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?
Correct Answer: A
Rationale: Monitoring for infection is key after prolonged membrane rupture to prevent complications, unlike supine positioning (reduces circulation), or assuming cesarean or forceps delivery.
Extract:
A newborn who is 1 hr old and was born at 43 weeks of gestation
Question 2 of 5
A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: B,C,E
Rationale: Post-term newborns often show hypotonia (aging placenta), excessive lanugo, and long nails due to prolonged gestation, unlike dry skin (variable) or absent vernix (common but not universal).
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 3 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).
Extract:
A client who is postpartum
Question 4 of 5
A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Verifying ID badges ensures authorized personnel handle the newborn, reducing abduction risk, unlike bassinet placement, carrying, or band storage.
Extract:
A client who is at 24 weeks of gestation with a glucose value of 130 mg/dL
Question 5 of 5
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 130 mg/dL result requires a 3-hour glucose tolerance test to confirm gestational diabetes, unlike routine visits, home monitoring, or repeating the 1-hour test.