ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client 1 day postpartum and breastfeeding with sore nipples
Question 1 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the newborn's latch is the most appropriate action, as sore nipples are commonly caused by an improper latch, which can be corrected with education and support to prevent further trauma.
Extract:
Client with last menstrual period starting August 10
Question 2 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10), add 7 days (May 17), and add 1 year, resulting in an estimated delivery date of May 17.
Extract:
Client at 35 weeks of gestation undergoing a nonstress test
Question 3 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Three uterine contractions in 20 minutes may indicate preterm labor, requiring immediate intervention to assess for signs like pelvic pressure or vaginal discharge and to prepare for possible tocolytic therapy.
Extract:
Newborn at risk for hemolytic disease
Question 4 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody production against fetal red blood cells, causing anemia and other complications.
Extract:
Client in active labor receiving butorphanol IV bolus
Question 5 of 5
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 10/min indicates potential respiratory depression, a side effect of butorphanol, and should be reported to the provider for further evaluation.