ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with yellow discharge at newborn circumcision site
Question 1 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:
Newborn with breast tissue that has a flat areola with no bud
Question 2 of 5
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: B
Rationale: A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development correlates with gestational age, and the lack of a breast bud indicates prematurity.
Extract:
Client in active labor testing positive for group B streptococcus
Question 3 of 5
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus S-hemolytic. Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is administered intravenously during labor to prevent transmission of group B streptococcus to the newborn, reducing the risk of neonatal sepsis.
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 4 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 scheduled to start phototherapy using a lamp
Question 5 of 5
A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Ensuring the newborn's eyes are closed beneath the shield is critical during phototherapy to prevent eye damage from the bright lights. This is a standard intervention to protect the newborn's vision.