ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is admitting a client who is at 38 weeks of gestation following a spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Exerting upward pressure relieves umbilical cord compression, reducing fetal distress risk until further intervention. Catheters, oxytocin, or lateral positioning do not address immediate cord prolapse.
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 2 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.
Extract:
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A BUN of 25 mg/dL suggests impaired kidney function, requiring reporting, especially in diabetes. Hct of 34%, platelets of 170,000/mm³, and HbA1c of 6% are normal or controlled.
Extract:
A nurse is providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 4 of 5
Which of the following food selections has the highest fibre content per cup?
Correct Answer: C
Rationale: Lentils have the highest fibre content per cup compared to oatmeal, cabbage, and asparagus, providing both soluble and insoluble fibre to promote bowel regularity and alleviate constipation. Oatmeal and cabbage have moderate fibre, while asparagus has less.
Extract:
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 5 of 5
Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: Hearing loss is a frequent manifestation of congenital CMV, affecting many symptomatic infants. Cataracts, macrosomia, and UTIs are not typical; CMV may cause growth restriction or other systemic signs.