ATI RN
ATI RN maternal Newborn 2019 with NGN Questions
Extract:
A postpartum client about caring for her 3-day-old male newborn at home
Question 1 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: D
Rationale: Avoiding foreskin retraction prevents injury in uncircumcised newborns. Antibiotic ointment, tight swaddling with legs extended, and expecting fewer than six urinations are incorrect.
Extract:
A client following a chorionic villus sampling
Question 2 of 5
A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?
Correct Answer: B
Rationale: Chorionic villus sampling carries a risk of infection due to invasive placental tissue sampling. Anemia, late decelerations, and placental insufficiency are not typical complications.
Extract:
A client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion
Question 3 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.
Extract:
A client who is receiving prenatal care and is at her 24-week appointment
Question 4 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.
Extract:
An adolescent client offering her newborn a bottle
Question 5 of 5
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, 'No, the baby is too tired to be held.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Demonstrating proper holding builds confidence and bonding without forcing the client. Insisting, persuading to breastfeed, or taking the baby to the nursery may undermine her autonomy.