ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who has placenta previa
Question 1 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
A client to induce labor
Question 2 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Verifying informed consent ensures ethical administration of dinoprostone. Avoiding urination, room temperature, or semi-Fowler's position are unnecessary.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Surgery is urgent (within 24-48 hr), povidone-iodine is harmful, and rectal temperature risks trauma.
Extract:
Four newborns
Question 4 of 5
A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: C
Rationale: Tachypnea at 10 hours suggests respiratory distress, requiring urgent assessment. No meconium by 24 hours, feeding issues, and blood-tinged discharge are less immediate.
Extract:
A newborn
Question 5 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: D
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating possible airway obstruction needing suctioning. Normal respiratory rate (32/min), irregular breathing, and coughing are typical and don't necessitate suctioning.