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:
Client at 39 weeks of gestation with fetus in left occipitoanterior position
Question 2 of 5
A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
Correct Answer: C
Rationale: In the left occipitoanterior position, the fetal back is on the left side of the maternal abdomen, and the heart sounds are best heard in the left lower quadrant, where the fetal heart is closest.
Extract:
Client with maternal hypotension post-epidural
Question 3 of 5
A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's increases blood volume, correcting hypotension caused by epidural-induced vasodilation, improving maternal and fetal perfusion.
Extract:
Client in active labor with two prior cesarean births
Question 4 of 5
A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at increased risk for which of the following complications?
Correct Answer: D
Rationale: Two prior cesarean births increase the risk of uterine rupture during labor, a serious complication that can lead to maternal hemorrhage and fetal distress.
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.