ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse on an antepartum unit is reviewing the medical records for four clients.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: A sodium level of 110 mEq/L in hyperemesis gravidarum is critically low, risking severe complications, and requires immediate assessment. Placenta previa, controlled diabetes, and normal creatinine are less urgent.
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 caring for a newborn who has neonatal abstinence syndrome.
Question 3 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.
Extract:
A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus B-hemolytic.
Question 4 of 5
Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is the CDC-recommended first-line antibiotic for group B streptococcus prophylaxis to prevent neonatal infection. Doxycycline and fluconazole are ineffective against GBS, and cefotetan is a second-line option.
Extract:
A nurse is caring for a client who has had a pudendal nerve block.
Question 5 of 5
The nurse should monitor which of the following findings has an adverse effect?
Correct Answer: B
Rationale: A pudendal nerve block numbs the perineum, reducing the ability to bear down, which can complicate delivery. Fetal bradycardia, hypertension, and hyperstimulation are not typical adverse effects.