ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who has developed eclampsia.
Question 1 of 5
Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion ensures adequate brain and organ oxygenation in eclampsia. Trendelenburg risks cerebral blood flow, voiding is not immediate, and calcium gluconate is for magnesium toxicity, not eclampsia.
Extract:
A nurse is providing teaching to a client about postpartum care.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement 3-5 days postpartum is normal due to milk production. Kegels can start immediately, breastfeeding is not reliable contraception, and lochia transitions from red to lighter colors within weeks.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Amniocentesis assesses for genetic disorders, not just fetal sex, and is not age-restricted or scheduled same-day without indication. Chorionic villus sampling is an alternative but not the default.
Extract:
A nurse is assessing a newborn who is 4 hr old.
Question 4 of 5
Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: C
Rationale: Forward and lateral ear positioning may indicate genetic conditions like Down syndrome, requiring urgent evaluation. Acrocyanosis, cranial molding, and milia are common and less concerning.
Extract:
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Early decelerations are benign, caused by head compression, and require only continued monitoring. Discontinuing oxytocin, changing position, or giving oxygen is unnecessary unless decelerations worsen.