ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 1 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Antibiotics prevent infection from CSF leakage. Surgery is urgent (within 24-48 hr), povidone-iodine is harmful, and rectal temperature risks trauma.
Extract:
A 20-year-old client who is at 12 weeks of gestation
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: A
Rationale: Amniocentesis detects genetic disorders, not just fetal sex, and is typically done after 15 weeks. Same-day scheduling, CVS, or age restrictions are incorrect.
Extract:
A client who is postpartum and experiencing hypovolemic shock
Question 3 of 5
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypovolemic shock causes cool, clammy skin due to poor perfusion. Urinary output drops below 30 mL/hr, pulses weaken, and respiratory rate increases above 18/min.
Extract:
Four newborns
Question 4 of 5
A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: C
Rationale: Tachypnea at 10 hours suggests respiratory distress, requiring urgent assessment. No meconium by 24 hours, feeding issues, and blood-tinged discharge are less immediate.
Extract:
A newborn
Question 5 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Platelets of 100,000/mm³ indicate thrombocytopenia, risking bleeding, and should be reported. Hematocrit, glucose, and hemoglobin values are normal.