Questions 59

ATI RN

ATI RN Test Bank

ATI Maternal Newborn 2020 with NGN Questions

Extract:

A client who delivered vaginally 24 hr ago


Question 1 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 term newborn who is 12 hr old


Question 2 of 5

A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Grunting indicates respiratory distress, requiring immediate reporting, unlike normal abdominal breathing, respiratory rate, or irregular respirations in newborns.

Extract:

A client who is at 34 weeks of gestation preparing for a nonstress test


Question 3 of 5

A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A left lateral tilt position during a nonstress test prevents vena cava compression, optimizing fetal heart rate monitoring, unlike oxytocin use, Down syndrome screening, or fasting requirements.

Extract:

A newborn receiving the hepatitis B vaccine


Question 4 of 5

A nurse is preparing to administer the hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A 3/8-inch needle is appropriate for newborn thigh injection, unlike 20-gauge (too large), dorsal gluteal (unsafe), or dose focus (correct but not action-specific).

Extract:

A client who is breastfeeding and experiencing breast engorgement


Question 5 of 5

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

Correct Answer: D

Rationale: Lanolin soothes engorged breasts, unlike avoiding pumps (helps), ice packs (reduces milk), or loose bras (less supportive).

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