ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn
Question 1 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The Babinski reflex in newborns shows dorsiflexion of the great toe and fanning of other toes when the sole is stroked, a normal finding. Other responses indicate abnormal reflexes.
Extract:
A client who reports that the first day of her last menstrual cycle was July 28th
Question 2 of 5
A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?
Correct Answer: B
Rationale: Nägele's Rule: July 28 plus 7 days is August 4, minus 3 months is May 4, plus 1 year is May 5. Other dates are incorrect.
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 3 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: A one-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep is tested at 35-37 weeks, rubella titer and blood type/Rh are done early in pregnancy.
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 4 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A group of clients about birth control
Question 5 of 5
A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: An annual exam ensures proper diaphragm fit. Spermicide is used just before intercourse, fertility returns soon after IUD removal, and emergency contraception doesn't replace ongoing birth control.