ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine is harmful to neural tissue, and surgery is typically within 24-48 hours.
Extract:
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Urine protein of 3+ indicates significant proteinuria, a hallmark of preeclampsia, requiring reporting. Blood glucose of 110 mg/dL, hemoglobin of 13 g/dL, and 2+ reflexes are normal findings.
Extract:
A nurse is assessing a newborn who is 4 hr old.
Question 3 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 on an antepartum unit is receiving change-of-shift report for four clients.
Question 4 of 5
Which of the following clients should the nurse assess first?
Correct Answer: A
Rationale: Epigastric pain and headache at 34 weeks suggest preeclampsia, a serious condition requiring immediate assessment. Nausea at 12 weeks, painful urination, and cramping with spotting are less urgent.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test.
Question 5 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The indirect Coombs' test-detects Rh-positive antibodies in maternal blood, indicating potential Rh incompatibility. It does not assess hypoglycemia, amniotic fluid, or blood flow.