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. Decreased activity level over the last 12 hr. Abdominal distention. Three bloody stools over the last 4 hr. Superficial rash on the abdominal wall. Light palpation of the abdomen leads to fist clenching, thrashing, and crying.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Inserting an orogastric tube decompresses the gastrointestinal tract, addressing abdominal distention and bloody stools, which suggest a serious condition like necrotizing enterocolitis. Measuring circumference, iron formula, or nitric oxide do not address the acute issue.
Extract:
A nurse is caring for a newborn.
Question 2 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.
Extract:
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Decreased activity level over the last 12 hr. Abdominal distention. Three bloody stools over the last 4 hr. Superficial rash on the abdominal wall. Light palpation of the abdomen leads to fist clenching, thrashing, and crying.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Inserting an orogastric tube decompresses the gastrointestinal tract, addressing abdominal distention and bloody stools, which suggest a serious condition like necrotizing enterocolitis. Measuring circumference, iron formula, or nitric oxide do not address the acute issue.
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 planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine is harmful to neural tissue, and surgery is typically within 24-48 hours.