ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position.
Question 2 of 5
Which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: A
Rationale: The Moro reflex is elicited by making a loud noise above the newborn, causing a startle response with arm and leg extension.
Touching the cheek elicits the rooting reflex, tapping the forehead has no specific reflex, and turning the head elicits the tonic neck reflex.
Extract:
A nurse is caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy.
Question 3 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a hallmark of ectopic pregnancy due to implantation outside the uterus, often in the fallopian tube. Bright red discharge, scaphoid abdomen, or elevated blood pressure are not typical.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 4 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 performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 5 of 5
Which of the following clinical findings should the nurse expect?
Correct Answer: D
Rationale: Facial petechiae are expected with a nuchal cord due to pressure during delivery causing minor hemorrhages. Telangiectatic nevi, erythema toxicum, and periauricular papillomas are unrelated to nuchal cord.