ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A newborn whose mother has hepatitis B
Question 1 of 5
A nurse is assisting with the care of a newborn whose mother has hepatitis B. Which of the following actions should the nurse plan to take when administering the hepatitis B vaccine?
Correct Answer: C
Rationale: Giving the hepatitis B vaccine within 24 hours prevents transmission, unlike incorrect angle (90°), consent (standard but not primary), or gluteal site (vastus lateralis used).
Extract:
A client who is at 24 weeks of gestation with a glucose value of 130 mg/dL
Question 2 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.
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 3 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
Four clients in a prenatal clinic
Question 4 of 5
A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse's priority to report to the provider?
Correct Answer: A
Rationale: Dysuria suggests a UTI, which can cause pregnancy complications if untreated, prioritizing it over common varicose veins, gingivitis, or leukorrhea.
Extract:
A client about the care of their newborn's umbilical cord
Question 5 of 5
A nurse is reinforcing teaching with a client about the care of their newborn's umbilical cord. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Odor from the cord suggests infection, requiring provider notification, unlike covering with diaper (traps moisture), soap cleaning (disrupts drying), or expecting bleeding (abnormal).