ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn immediately following birth with a large amount of mucus in mouth and nose
Question 1 of 5
A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.
Correct Answer: B,D,C,A
Rationale: The correct sequence is: compress the bulb syringe, place it in the newborn's mouth, suction the nose, and assess for reflex bradycardia. This order clears the airway effectively while minimizing the risk of aspiration and vagal stimulation.
Extract:
Postpartum client
Question 2 of 5
A nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement, causing firm and tender breasts 3-5 days post-delivery, is a normal occurrence, and clients should be informed to expect this change.
Extract:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.
Extract:
Postpartum client with 5-day-old male newborn
Question 4 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Notifying the pediatrician if the newborn urinates less than six times a day is important, as it may indicate dehydration, requiring prompt evaluation.
Extract:
Client at 35 weeks of gestation undergoing a nonstress test
Question 5 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.