ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client breastfeeding her newborn
Question 1 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: Allowing the baby to feed at least every 3 hours helps establish an adequate milk supply and ensures proper nutrition, supporting newborn health.
Extract:
Client with yellow discharge at newborn circumcision site
Question 2 of 5
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Yellow discharge is common 24-72 hours post-circumcision due to normal exudate formation, and does not require testing or aggressive cleaning unless signs of infection appear.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 3 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:
Client 12 hr postpartum with fourth-degree perineal laceration
Question 4 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and provides pain relief for a fourth-degree perineal laceration, promoting comfort and healing in the immediate postpartum period.
Extract:
Newborn 4 hr old
Question 5 of 5
A nurse is assessing a newborn who is 4 hr old. Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: A
Rationale: Overlapping cranial bones may indicate craniosynostosis, a condition that can lead to increased intracranial pressure and requires immediate reporting for further evaluation.