ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation and distress in newborns with neonatal abstinence syndrome. Extended leg swaddling increases discomfort, large feedings risk aspiration, and eye contact may overstimulate.
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 2 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.
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common finding in endometritis due to uterine inflammation or infection. A temperature of 37.4°C is normal, a WBC count of 9,000/mm³ is not elevated as expected in infection, and scant lochia is normal, not indicative of endometritis.
Extract:
A nurse is providing teaching to a client about postpartum care.
Question 4 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 is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations indicating fetal hypoxia. Decreasing IV fluids, low-flow oxygen, or misoprostol do not correct the underlying issue.