ATI RN
ATI Maternal Newborn 2020 with NGN Questions
Extract:
A client who is at 6 weeks of gestation
Question 1 of 5
A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: Group B strep screening occurs at 36 weeks to guide labor prophylaxis, unlike frequent urine specimens, early alpha-fetoprotein (15-20 weeks), or diabetes screening (24-28 weeks).
Extract:
A client who delivered vaginally 24 hr ago
Question 2 of 5
A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?
Correct Answer: D
Rationale: Colostrum is expected 24 hours postpartum, unlike lochia serosa (later stage), frequent urination (variable), or fundus above umbilicus (suggests issues).
Extract:
A client who is at 34 weeks of gestation reporting a sudden gush of vaginal fluid
Question 3 of 5
A nurse in a provider's office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid. Which of the following manifestations is the priority?
Correct Answer: B
Rationale: Fetal heart tones of 98/min indicate distress, prioritizing immediate action over discharge (infection), meconium (variable risk), or fever (less urgent).
Extract:
A client discussing contraceptive methods
Question 4 of 5
A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?
Correct Answer: A
Rationale: IUDs have the lowest failure rate due to high efficacy, unlike diaphragms, pills (user-dependent), or sponges (higher failure).
Extract:
A newborn receiving phytonadione
Question 5 of 5
A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for phytonadione to minimize trauma, unlike deltoid use (vastus lateralis preferred), delayed timing (within 1 hour), or checking Rh factor (irrelevant).