ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn
Question 1 of 5
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: D
Rationale: Pulse oximetry of 91% suggests hypoxia, indicating possible airway obstruction needing suctioning. Normal respiratory rate (32/min), irregular breathing, and coughing are typical and don't necessitate suctioning.
Extract:
A client during her first prenatal visit, reports March 20 as her last menstrual period
Question 2 of 5
A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery.
Correct Answer: A
Rationale: Using Nägele's Rule: March 20 plus 7 days is March 27, minus 3 months is December 27 (1227). Other dates are incorrect based on the calculation.
Extract:
A client who is breastfeeding her newborn
Question 3 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Feeding every 3 hours supports milk supply and newborn nutrition. Water is unnecessary, 5-10 min per breast may be insufficient, and newborns typically have 6+ wet diapers daily.
Extract:
A client who is at 30 weeks of gestation
Question 4 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
Correct Answer: A,E
Rationale: Inactivated influenza and Tdap (diphtheria-acellular pertussis) are recommended during pregnancy to protect mother and baby. HPV, varicella, and MMR are contraindicated due to live virus risks.
Extract:
A client who is in active labor and has gonorrhea
Question 5 of 5
A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?
Correct Answer: A
Rationale: Gonorrhea increases risk of chorioamnionitis, an infection of the amniotic sac. Vaginal lacerations, oligohydramnios, and excessive bleeding are not directly linked to gonorrhea.