ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A newborn receiving phytonadione
Question 1 of 5
A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for phytonadione to minimize trauma, unlike deltoid use (vastus lateralis preferred), delayed timing (within 1 hour), or checking Rh factor (irrelevant).
Extract:
A client who is at 6 weeks of gestation
Question 2 of 5
A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Group B strep screening occurs at 36 weeks to guide labor prophylaxis, unlike frequent urine specimens, early alpha-fetoprotein (15-20 weeks), or diabetes screening (24-28 weeks).
Extract:
A client who is postpartum with excessive vaginal bleeding and a boggy uterus
Question 3 of 5
A nurse is caring for a client who is postpartum. The client is experiencing excessive vaginal bleeding and has a boggy uterus. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first action to address uterine atony, which causes a boggy uterus and bleeding, by promoting contraction, before medications, bladder emptying, or oxygen.
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 4 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).
Extract:
The guardian of a newborn
Question 5 of 5
A nurse is reinforcing teaching about home safety precautions with the guardian of a newborn. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Washing the face with a warm, soapy washcloth is safe, unlike high water temperature (scald risk), bumper pads (suffocation), or pillows (SIDS risk).