ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn at risk for hemolytic disease
Question 1 of 5
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody production against fetal red blood cells, causing anemia and other complications.
Extract:
Newborn whose mother had gestational diabetes mellitus
Question 2 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes, due to rapid drops in blood glucose after birth.
Extract:
Newborn requiring nasopharyngeal suctioning
Question 3 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: C
Rationale: A pulse oximetry of 91% indicates hypoxemia, suggesting airway obstruction by secretions, necessitating nasopharyngeal suctioning to improve oxygenation.
Extract:
Client with maternal hypotension post-epidural
Question 4 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.
Extract:
Client at 8 weeks of gestation with ectopic pregnancy
Question 5 of 5
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a classic sign of ectopic pregnancy, caused by stretching or rupture of the fallopian tube where the embryo is implanted.