ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn delivered with 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: B
Rationale: Facial petechiae are expected in newborns with a nuchal cord due to pressure on the neck during delivery, causing small blood vessel ruptures on the face.
Extract:
20-year-old client at 12 weeks of gestation requesting amniocentesis
Question 2 of 5
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis is primarily used to detect genetic or congenital disorders, not just to determine fetal sex, and is typically performed between 15-20 weeks, so the nurse should clarify its purpose.
Extract:
Newborn with neonatal abstinence syndrome
Question 3 of 5
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation, which can aggravate withdrawal symptoms in newborns with neonatal abstinence syndrome, promoting comfort and stability.
Extract:
Client with eclampsia post-convulsion
Question 4 of 5
A nurse is caring for a client who has developed eclampsia. Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion prevents hypoxia, a critical step to protect maternal and fetal health in eclampsia.
Extract:
Client in second trimester concerned about preparing 2-year-old for new sibling
Question 5 of 5
A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concern about preparing her 2-year-old child for a new sibling. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Requiring scheduled interactions between the toddler and baby fosters familiarity and inclusion, helping the toddler adjust positively to the new sibling.