ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Newly hired nurses in newborn nursery
Question 1 of 5
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching?
Correct Answer: D
Rationale: Placing bassinets at least 3 feet apart reduces the risk of infection transmission in the nursery by minimizing close contact between newborns.
Extract:
Client with preeclampsia receiving magnesium sulfate
Question 2 of 5
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness may indicate magnesium sulfate toxicity, which can lead to serious complications like respiratory depression, and should be reported immediately.
Extract:
Newborn scheduled to start phototherapy using a lamp
Question 3 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.
Extract:
Postpartum client with 5-day-old male newborn
Question 4 of 5
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Notifying the pediatrician if the newborn urinates less than six times a day is important, as it may indicate dehydration, requiring prompt evaluation.
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 5 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.