ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 1 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Advanced labor (80% effaced, 8 cm dilated) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony. Incompetent cervix, ectopic pregnancy, and hyperemesis are unrelated to this stage.
Extract:
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Question 2 of 5
Which of the following instructions should the nurse manager include in the teaching?
Correct Answer: D
Rationale: Placing newborn bassinets at least 3 feet apart is a key infection control measure to prevent cross-contamination and reduce infection spread. Masks for parents are not standard, airborne precautions are not routine, and sterile fields for heelsticks are specific to the procedure, not general nursery policy.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 3 of 5
Which of the following statements should the nurse make to the client?
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours ensures adequate nutrition and stimulates milk production. Water supplementation is unnecessary, limiting feeding time to 5-10 minutes may reduce intake, and expecting only 2-4 wet diapers is too low; 6 or more are typical.
Extract:
A nurse in the labour and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Following the birth of the newborn.
Question 5 of 5
Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing maternal blood or fluids. IV antibiotics are not routine for HIV exposure, breastfeeding is contraindicated, and contact precautions are unnecessary as HIV is not spread by casual contact.