ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL, mother has type 2 diabetes mellitus
Question 1 of 5
A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A glucose of 65 mg/dL is normal; reassessing before the next feeding monitors for hypoglycemia, common in infants of diabetic mothers. Feeding, dextrose, or serum tests are unnecessary.
Extract:
A newborn who is scheduled to start phototherapy using a lamp
Question 2 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring eyes are shielded protects from light damage during phototherapy. Glucose water, clothing, and lotion are inappropriate as they interfere with treatment or hydration.
Extract:
A group of clients about birth control
Question 3 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.
Extract:
An antepartal client at 35 weeks of gestation
Question 4 of 5
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: B
Rationale: Three contractions of 60 seconds in 10 minutes suggest preterm labor, needing further evaluation. A fetal heart rate increase, irregular short contractions, and three movements are normal findings.
Extract:
A 20-year-old client who is at 12 weeks of gestation
Question 5 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and is typically done after 15 weeks. Same-day scheduling, CVS, or age restrictions are incorrect.