ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A client who is 24 hours postpartum and has decided not to breastfeed
Question 1 of 5
A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Applying ice packs reduces swelling and discomfort from engorgement. Warm water or pumping stimulates milk production, worsening engorgement, and a supportive bra is better than a loose one to manage discomfort.
Extract:
A postpartum client who has a prescription for a rubella immunization
Question 2 of 5
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: Avoiding pregnancy for 1 month post-rubella vaccine prevents fetal harm from the live virus. It's a single dose, joint pain is common, and breastfeeding is safe.
Extract:
An antepartum client who reports 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: D
Rationale: Lentils provide 15.5 grams of fiber per cup, higher than oatmeal (5 grams), asparagus (~3 grams), or cabbage (~2 grams), effectively relieving constipation.
Extract:
A full-term newborn upon admission to the nursery
Question 4 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 client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 5 of 5
A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?
Correct Answer: B
Rationale: Monitoring serum magnesium levels prevents toxicity during tocolytic therapy. Coombs test, liver enzymes, and uric acid are unrelated to magnesium sulfate management.