ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is planning care for a full-term newborn who is receiving phototherapy.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Avoiding lotion or ointment ensures effective bilirubin breakdown during phototherapy. Clothing reduces skin exposure, supine positioning is not required, and temperature monitoring is routine but not specific to phototherapy.
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 2 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 full-term newborn upon admission to the nursery.
Question 3 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine (urate crystals), subconjunctival hemorrhage, and transient circumoral cyanosis are common and usually benign in newborns.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 4 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 assessing a newborn whose mother had gestational diabetes mellitus.
Question 5 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.