ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn who was delivered with a nuchal cord
Question 1 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure of a nuchal cord. Erythema toxicum, periauricular papillomas, and telangiectatic nevi are unrelated to nuchal cord.
Extract:
A postpartum client who is experiencing uterine atony
Question 2 of 5
A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
Correct Answer: A,B,C,D
Rationale: Correct sequence: Position client (
A), place hands (
B), massage fundus (
C), observe bleeding (
D) to stimulate contractions and monitor hemorrhage.
Extract:
A client who is at 27 weeks of gestation and has preeclampsia
Question 3 of 5
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A platelet count of 60,000/mm³ indicates thrombocytopenia, a sign of severe preeclampsia or HELLP syndrome, requiring urgent reporting. Other values are within normal ranges.
Extract:
Four clients, each two hours post-birth
Question 4 of 5
After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?
Correct Answer: A
Rationale: This client should be reassessed by the RN prior to transfer, as worsening perineal pain may indicate a hematoma, infection, or inadequate pain management. The RN should inspect the perineum, check the vital signs, and evaluate the effectiveness of the medication. A multigravida whose peri-pad is 1/4 saturated with lochia rubra after one hour is normal, strong afterbirth pains during breastfeeding are expected in multiparous women, and a small clot is typical without excessive bleeding.
Extract:
An adolescent client offering her newborn a bottle
Question 5 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Demonstrating proper holding builds confidence and bonding without forcing the client. Insisting, persuading to breastfeed, or taking the baby to the nursery may undermine her autonomy.