ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing the newborn's latch is critical to identify if improper positioning causes sore nipples, allowing correction to alleviate discomfort. Limiting breastfeeding time, offering formula, or spacing feedings 4 hours apart may reduce milk supply or nutrition.
Extract:
A nurse is assessing a full-term newborn.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A heart rate of 72/min is significantly lower than the normal range for a newborn (120 to 160 beats per minute) and indicates bradycardia, which should be reported to the provider as it may suggest an underlying issue. Blood pressure of 80/50 mm Hg, respiratory rate of 55/min, and temperature of 36.5°C are all within normal ranges for a full-term newborn.
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 3 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.
Extract:
A nurse is assessing a newborn who is 4 hr old.
Question 4 of 5
Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: C
Rationale: Forward and lateral ear positioning may indicate genetic conditions like Down syndrome, requiring urgent evaluation. Acrocyanosis, cranial molding, and milia are common and less concerning.
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.