ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 1 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 the reflexes of a term newborn. After placing the newborn in the supine position.
Question 2 of 5
Which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: A
Rationale: The Moro reflex is elicited by making a loud noise above the newborn, causing a startle response with arm and leg extension.
Touching the cheek elicits the rooting reflex, tapping the forehead has no specific reflex, and turning the head elicits the tonic neck reflex.
Extract:
A nurse is caring for a client who has developed eclampsia.
Question 3 of 5
Which of the following actions should the nurse implement after the client experiences a convulsion?
Correct Answer: C
Rationale: Administering oxygen at 10 L/min post-convulsion ensures adequate brain and organ oxygenation in eclampsia. Trendelenburg risks cerebral blood flow, voiding is not immediate, and calcium gluconate is for magnesium toxicity, not eclampsia.
Extract:
A nurse is caring for a client who has maternal hypotension following the placement of an epidural.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's treats hypotension by increasing blood volume, counteracting epidural-induced vasodilation. Knee-chest position, terbutaline, or low-flow oxygen are not appropriate for this scenario.
Extract:
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate.
Question 5 of 5
Which of the following clinical findings should the nurse instruct the client to report?
Correct Answer: C
Rationale: Increased muscle weakness is a sign of magnesium sulfate toxicity and should be reported, as it may necessitate dose adjustment. Increased fetal movement is positive, urinary output may increase normally, and respiratory rate increase is not typical.