ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assisting the client to the bathroom encourages natural voiding to relieve bladder distention, the first step to avoid invasive measures. Sitz baths, catheterization, or warm water are secondary if voiding fails.
Extract:
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 2 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ultrasound in the first trimester is primarily used to determine gestational age, confirm viability, and assess for anomalies. Biophysical profiles, placental maturity, and growth restriction are evaluated later in pregnancy.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 3 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 full-term newborn upon admission to the nursery.
Question 4 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 caring for a newborn.
Question 5 of 5
Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: D
Rationale: Coughing suggests secretions or obstruction in the nasopharynx, indicating a need for suctioning to clear the airway. Irregular respiratory rate, a rate of 32/min, or pulse oximetry of 91% may warrant monitoring but do not specifically indicate suctioning.