ATI RN
ATI Maternal Newborn 2019 with NGN Questions
Extract:
Four clients on antepartum unit
Question 1 of 5
A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Epigastric pain and headache at 34 weeks may indicate preeclampsia, a serious condition requiring immediate assessment to prevent complications like seizures.
Extract:
Full-term newborn upon admission to nursery
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: C
Rationale: A single palmar crease may be associated with chromosomal disorders like Down syndrome, requiring further evaluation and reporting to the provider.
Extract:
Newborn with breast tissue that has a flat areola with no bud
Question 3 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 undergoing indirect Coombs' test
Question 4 of 5
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The indirect Coombs' test detects Rh-positive antibodies in the mother's blood, which can cause hemolytic disease of the newborn in Rh-positive fetuses.
Extract:
Client at 35 weeks of gestation undergoing a nonstress test
Question 5 of 5
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?
Correct Answer: A
Rationale: Three uterine contractions in 20 minutes may indicate preterm labor, requiring immediate intervention to assess for signs like pelvic pressure or vaginal discharge and to prepare for possible tocolytic therapy.