ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A: Lays the newborn across their lap and gently sways. This is a positive parenting behavior because it helps create a comforting environment for the newborn by providing physical closeness and rhythmic movement, which can help soothe the baby. Placing the newborn in the crib in a prone position (choice
B) is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS). Offering a pacifier dipped in formula (choice
C) is not advised as it can lead to overfeeding and dental issues. Preparing a bottle of formula mixed with rice cereal (choice
D) is not appropriate for a newborn as they have specific feeding needs.
Question 2 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, the fetus's heart rate is typically around 140-160 beats per minute. This finding indicates normal fetal well-being. Deep tendon reflexes being 4+ (choice
A) is not relevant to gestational age assessment. Fundal height of 14 cm (choice
B) is too low for 18 weeks gestation. A blood pressure of 142/94 mm Hg (choice
C) is elevated for pregnancy and indicates hypertension.
Therefore, the correct answer is D.
Question 3 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns born at 26 weeks, they typically exhibit minimal arm recoil due to muscle tone immaturity. This is a key characteristic assessed through the New Ballard Score to determine gestational age accurately. The other choices are incorrect because: B: A popliteal angle of 90° is more indicative of full-term infants. C: Creases over the entire foot sole are typically seen in term infants. D: Raised areolas with 3 to 4 mm buds are also more common in full-term infants. E, F, G: These options are not relevant to the assessment of gestational age in newborns.
Question 4 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn within the first 24 hours can be a sign of pathologic hyperbilirubinemia, which can be harmful. The nurse should report this to the provider promptly for further evaluation and management. Acrocyanosis (
A) is a common finding in newborns due to immature circulation and is not concerning. Transient strabismus (
B) is a common finding that typically resolves on its own and does not require immediate intervention. Caput succedaneum (
D) is swelling on the scalp that usually resolves without treatment.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 5 of 5
The nurse should first implement --- and ---
Correct Answer: B, C
Rationale: The correct answer is B, C. First, administering doxycycline is essential in treating Chlamydia, as it is the first-line antibiotic. Next, administering ceftriaxone is crucial for treating concurrent gonorrhea infections. Providing education on medications (
A) can come after the initial treatment. Administering metronidazole alone (E) does not address Chlamydia or gonorrhea. Administering metronidazole and educating on condom use (
D) is not the first step in managing Chlamydia and gonorrhea infections.