ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Client with gestational diabetes mellitus
Question 1 of 5
A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: B
Rationale: Glyburide is an oral hypoglycemic used to manage gestational diabetes when diet and lifestyle are insufficient, as it helps control blood glucose without crossing the placenta significantly.
Extract:
Client breastfeeding her newborn
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours helps establish an adequate milk supply and ensures proper nutrition, supporting newborn health.
Extract:
Antepartum client reporting constipation
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content, providing approximately 15.6 grams per cup, compared to oatmeal (4 grams), cabbage (2.6 grams), and asparagus (3.6 grams), making them the best choice for managing constipation.
Extract:
Full-term newborn
Question 4 of 5
A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A heart rate of 72/min is significantly below the normal range of 120-160 beats per minute for a newborn, indicating potential bradycardia that requires immediate reporting.
Extract:
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cord
Question 5 of 5
A nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.