ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newborn with leaking myelomeningocele
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: Administering broad-spectrum antibiotics prevents infection through the leaking myelomeningocele, a priority to protect the newborn from meningitis.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 2 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.
Extract:
Antepartum client reporting constipation
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content, providing approximately 15.6 grams per cup, compared to oatmeal (4 grams), cabbage (2.6 grams), and asparagus (3.6 grams), making them the best choice for managing constipation.
Extract:
Full-term newborn
Question 4 of 5
A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 72/min is significantly below the normal range of 120-160 beats per minute for a newborn, indicating potential bradycardia that requires immediate reporting.
Extract:
Postpartum client with 5-day-old male newborn
Question 5 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Notifying the pediatrician if the newborn urinates less than six times a day is important, as it may indicate dehydration, requiring prompt evaluation.