ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A postpartum client who is experiencing uterine atony
Question 1 of 5
A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?
Correct Answer: A,B,C,D
Rationale: Correct sequence: Position client (
A), place hands (
B), massage fundus (
C), observe bleeding (
D) to stimulate contractions and monitor hemorrhage.
Extract:
A client who is breastfeeding her newborn
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Feeding every 3 hours supports milk supply and newborn nutrition. Water is unnecessary, 5-10 min per breast may be insufficient, and newborns typically have 6+ wet diapers daily.
Extract:
A full-term newborn upon admission to the nursery
Question 3 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: C
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine, subconjunctival hemorrhage, and transient circumoral cyanosis are common and typically benign in newborns.
Extract:
A newborn
Question 4 of 5
A nurse is performing an assessment of a newborn's Babinski reflex. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The Babinski reflex in newborns shows dorsiflexion of the great toe and fanning of other toes when the sole is stroked, a normal finding. Other responses indicate abnormal reflexes.
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 5 of 5
A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?
Correct Answer: D
Rationale: A one-hour glucose tolerance test screens for gestational diabetes at 24-28 weeks. Group B strep is tested at 35-37 weeks, rubella titer and blood type/Rh are done early in pregnancy.