ATI RN
ATI Maternal Newborn 2019 Exam 3 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: C
Rationale: Applying identification bands ensures newborn safety and correct matching with the mother, taking precedence over weight, vitamin K, or eye ointment.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 2 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: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.
Extract:
A client who has pre-gestational diabetes mellitus
Question 3 of 5
A nurse is caring for a client who has pre-gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia?
Correct Answer: B
Rationale: Increased urination (polyuria) is a hallmark of hyperglycemia due to glucose-driven diuresis. Dizziness, sweating, and double vision are less specific or indicate severe cases.
Extract:
Four newborns in a nursery (repeated)
Question 4 of 5
A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: Tachypnea indicates possible respiratory compromise, prioritizing assessment. Other findings, while concerning, are less immediately life-threatening.
Extract:
A client who has hyperemesis gravidarum
Question 5 of 5
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?
Correct Answer: D
Rationale: Urine ketones detect ketosis from prolonged vomiting in hyperemesis gravidarum, guiding treatment. Culture, reagin, and prothrombin tests are unrelated.