ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
An adolescent postoperative following a cesarean birth receiving morphine
Question 1 of 5
A nurse is collecting data from an adolescent who is postoperative following a cesarean birth and is receiving morphine for pain. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: A respiratory rate of 11/min indicates morphine-induced respiratory depression, a life-threatening priority, over urinary retention, normal BP, or blurred vision.
Extract:
A client who is at 32 weeks of gestation for fundal height measurement
Question 2 of 5
A nurse is assisting in obtaining the fundal height measurement for a client who is at 32 weeks of gestation. Which of the following images indicates where the nurse should expect the client's fundus to be located?
Correct Answer: C
Rationale: At 32 weeks, the fundus is about 32 cm above the symphysis pubis, matching the gestational age, unlike earlier stages.
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 3 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).
Extract:
A newborn receiving the hepatitis B vaccine
Question 4 of 5
A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 3/8-inch needle is appropriate for newborn thigh injection, unlike 20-gauge (too large), dorsal gluteal (unsafe), or dose focus (correct but not action-specific).
Extract:
A newborn requiring phototherapy for hyperbilirubinemia
Question 5 of 5
A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following interventions should the nurse recommend including in the plan?
Correct Answer: C
Rationale: Repositioning every 2-3 hours maximizes skin exposure to phototherapy, unlike ointment (interferes), water feeding (unnecessary), or frequent glucose checks (not routine).