ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn who is scheduled to start phototherapy using a lamp
Question 1 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring eyes are shielded protects from light damage during phototherapy. Glucose water, clothing, and lotion are inappropriate as they interfere with treatment or hydration.
Extract:
A client who has placenta previa
Question 2 of 5
A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Painless vaginal bleeding is the hallmark of placenta previa due to the placenta covering the cervix. Headaches, hypertonicity, or a rigid abdomen are more associated with other conditions like preeclampsia or abruption.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 3 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.
Extract:
An adolescent client offering her newborn a bottle
Question 4 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.
Extract:
A client who is at 30 weeks of gestation
Question 5 of 5
A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
Correct Answer: A,E
Rationale: Inactivated influenza and Tdap (diphtheria-acellular pertussis) are recommended during pregnancy to protect mother and baby. HPV, varicella, and MMR are contraindicated due to live virus risks.