ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
A newborn immediately following birth with a large amount of mucus in the 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: A,B,D,C
Rationale: Correct sequence: Compress the bulb (
A), suction mouth first (
B), then nose (
D), and assess for bradycardia (
C) to monitor for vagal stimulation.
Extract:
A client who has preeclampsia during a prenatal visit
Question 2 of 5
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Urine protein of 3+ indicates preeclampsia severity, requiring reporting. Normal reflexes, glucose, and hemoglobin don't need urgent attention.
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 3 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: A
Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.
Extract:
A full-term newborn upon admission to the nursery
Question 4 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common in newborns and typically resolve without intervention.
Extract:
A client in her second trimester of pregnancy with a 2-year-old child
Question 5 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Moving the toddler to a new bed early prevents associating the change with the baby's arrival, easing transition. Other options may cause jealousy or exclusion.