ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn with breast tissue that has a flat areola with no bud
Question 1 of 5
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: B
Rationale: A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development correlates with gestational age, and the lack of a breast bud indicates prematurity.
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 2 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.
Extract:
Client on labor and delivery unit with human immunodeficiency virus (HIV)
Question 3 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing blood and bodily fluids that may contain the virus. This is a critical step to minimize exposure.
Extract:
Newly hired nurse learning about Apgar scoring
Question 4 of 5
A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring the newborn's muscle tone is part of the Apgar scoring process, which evaluates heart rate, respiratory effort, muscle tone, reflex irritability, and color to assess the newborn's condition.
Extract:
Client at 30 weeks of gestation receiving magnesium sulfate for preeclampsia
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.
Correct Answer: D
Rationale: A urine output of 20 mL/hr indicates an adverse reaction to magnesium sulfate, as it suggests decreased renal function, which can lead to toxicity. Normal urine output should be at least 30 mL/hr.