ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a newborn.
Question 1 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 providing discharge instructions to a client who is breastfeeding her newborn.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours ensures adequate nutrition and stimulates milk production. Water supplementation is unnecessary, limiting feeding time to 5-10 minutes may reduce intake, and expecting only 2-4 wet diapers is too low; 6 or more are typical.
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 reviewing the medical records of four clients who have an acid-base imbalance.
Question 4 of 5
The nurse should recognize that which of the following clients is at risk for respiratory alkalosis?
Correct Answer: C
Rationale: Salicylate intoxication causes hyperventilation, reducing PaCOâ‚‚ and leading to respiratory alkalosis. Thiazide diuretics and vomiting cause metabolic alkalosis, while hypoventilation leads to respiratory acidosis.
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation and distress in newborns with neonatal abstinence syndrome. Extended leg swaddling increases discomfort, large feedings risk aspiration, and eye contact may overstimulate.