ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn following delivery
Question 1 of 5
A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Applying identification bands first ensures safety and prevents misidentification. Eye ointment, vitamin K, and weight can follow.
Extract:
A client who is 2 days postpartum and wants to continue using her diaphragm for contraception
Question 2 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Postpartum changes may alter diaphragm fit, requiring a refit. Oil-based lubricants damage diaphragms, sterile water is incorrect, and it should stay in for 6 hours.
Extract:
An adolescent client offering her newborn a bottle
Question 3 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Demonstrating proper holding builds confidence and bonding without forcing the client. Insisting, persuading to breastfeed, or taking the baby to the nursery may undermine her autonomy.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 4 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A group of clients about birth control
Question 5 of 5
A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: An annual exam ensures proper diaphragm fit. Spermicide is used just before intercourse, fertility returns soon after IUD removal, and emergency contraception doesn't replace ongoing birth control.