ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test.
Question 2 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: The indirect Coombs' test-detects Rh-positive antibodies in maternal blood, indicating potential Rh incompatibility. It does not assess hypoglycemia, amniotic fluid, or blood flow.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Jitteriness is a common sign of hypoglycemia in newborns due to low glucose affecting neurological function. Abdominal distention, petechiae, and increased muscle tone are not typical hypoglycemia symptoms.
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 assessing a newborn who is 4 hr old.
Question 5 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.