ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A newborn requiring phototherapy for hyperbilirubinemia
Question 1 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).
Extract:
A newborn receiving the hepatitis B vaccine
Question 2 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 receiving phytonadione
Question 3 of 5
A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for phytonadione to minimize trauma, unlike deltoid use (vastus lateralis preferred), delayed timing (within 1 hour), or checking Rh factor (irrelevant).
Extract:
A client who is at 24 weeks of gestation with a glucose value of 130 mg/dL
Question 4 of 5
A nurse is reviewing the results of a 1-hr glucose screening test for a client who is at 24 weeks of gestation. The client's glucose value is 130 mg/dL. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A 130 mg/dL result requires a 3-hour glucose tolerance test to confirm gestational diabetes, unlike routine visits, home monitoring, or repeating the 1-hour test.
Extract:
A client in the first trimester of pregnancy
Question 5 of 5
A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?
Correct Answer: D
Rationale: Eating dry toast before rising stabilizes the stomach, reducing morning sickness, unlike high-fat snacks (worsen nausea), limiting snacks (increases nausea), or water with meals (less effective).