ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Diagnostic results: Escherichia coli infection resulting in necrotizing enterocolitis, Hgb 10g/dL, Platelet counts 50,000 mm3, WBC count 4,000 mm3.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Measuring abdominal circumference every 12 hours monitors necrotizing enterocolitis progression, indicated by distention. Decompression may be needed but is not universal, iron formula is inappropriate, and nitric oxide is for respiratory issues.
Extract:
A nurse is teaching a newly hired nurse about Apgar scoring.
Question 2 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring (appearance, pulse, grimace, activity, respiration). Apgar is assessed at 1 and 5 minutes, a score of 8 is normal, and resuscitation should not wait for scoring.
Extract:
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position.
Question 3 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 teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 4 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 caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy.
Question 5 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.