ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Postpartum client
Question 1 of 5
A nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement, causing firm and tender breasts 3-5 days post-delivery, is a normal occurrence, and clients should be informed to expect this change.
Extract:
2-day-old newborn born at 35 weeks with Escherichia coli infection, necrotizing enterocolitis, Hgb 10g/dL, platelet count 50,000 mm, WBC count 4,000 mm3, oxygen saturation 90%, shallow respirations 70/min, rigid extremities, grimacing, irritability, decreased activity, abdominal distension, three bloody stools, superficial rash on abdominal wall, fist clenching on palpation
Question 2 of 5
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse should insert an orogastric decompression tube with low wall suction to relieve abdominal distention caused by necrotizing enterocolitis, reducing pain and preventing further complications.
Extract:
Newborn whose mother had gestational diabetes mellitus
Question 3 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns, especially those born to mothers with gestational diabetes, due to rapid drops in blood glucose after birth.
Extract:
Client with last menstrual period starting August 10
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10), add 7 days (May 17), and add 1 year, resulting in an estimated delivery date of May 17.
Extract:
Postpartum client with vital signs: temperature 37° C (98.6° F), pulse 78/min, respiratory rate 12/min, blood pressure 124/80 mm Hg, pulse oximetry 100%
Question 5 of 5
A nurse is assessing a postpartum client during a follow-up visit. The nurse is teaching the client about postpartum depression. The nurse should encourage the client to and to help prevent postpartum depression.
Correct Answer: A,B
Rationale: Eating a well-balanced diet and exercising for 30 minutes per day can help reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress, thus preventing postpartum depression.