ATI RN
ATI RN maternal newborn 2019 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The indirect Coombs' test detects Rh-positive antibodies, preventing hemolytic disease. Other options describe unrelated tests.
Extract:
A newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy, acquired CMV transplacentally
Question 2 of 5
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: C
Rationale: Congenital CMV commonly causes hearing loss in newborns. Macrosomia, cataracts, and urinary tract infections are not typical manifestations.
Extract:
A client who is at 35 weeks of gestation and has diabetes mellitus, undergoing a nonstress test with no accelerations for 20 minutes
Question 3 of 5
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Vibroacoustic stimulation provokes fetal response in a non-reactive nonstress test. Trendelenburg, vaginal exams, and Coombs test don't address the issue.
Extract:
A client who has human immunodeficiency virus (HIV), following the birth of the newborn
Question 4 of 5
A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?
Correct Answer: A
Rationale: Cleansing the newborn immediately reduces HIV transmission risk by removing maternal secretions. Contact precautions are unnecessary, antibiotics don't prevent HIV, and breastfeeding is contraindicated in developed countries for HIV-positive mothers.
Extract:
A newborn who is 1 hour old, respiratory rate 50/min, heart rate 130/min, axillary temperature 36.1°C (97°F)
Question 5 of 5
A nurse is caring for a newborn who is 1 hour old and has a respiratory rate of 50/min, a heart rate of 130/min, and an axillary temperature of 36.1°C (97°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying a cap prevents heat loss from the head, addressing the risk of hypothermia at 36.1°C. Bathing increases heat loss, repositioning is insufficient, and oxygen saturation isn't directly related to temperature.