ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 1 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Jitteriness is a common sign of hypoglycemia in newborns due to low glucose affecting neurological function. Abdominal distention, petechiae, and increased muscle tone are not typical hypoglycemia symptoms.
Extract:
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud.
Question 2 of 5
The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: C
Rationale: A flat areola with no bud suggests a congenital anomaly in breast tissue development, requiring further evaluation. Preterm infants have immature tissue, low hormones affect size, and ambiguity involves unclear sex characteristics.
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site.
Question 4 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Yellow discharge is normal 24-72 hours post-circumcision as part of healing. Testing is unnecessary unless infection is suspected, povidone-iodine may irritate, and wiping may disrupt healing.
Extract:
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus B-hemolytic.
Question 5 of 5
Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is the CDC-recommended first-line antibiotic for group B streptococcus prophylaxis to prevent neonatal infection. Doxycycline and fluconazole are ineffective against GBS, and cefotetan is a second-line option.