ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 1 of 5
Which of the following clinical findings should the nurse expect?
Correct Answer: D
Rationale: Facial petechiae are expected with a nuchal cord due to pressure during delivery causing minor hemorrhages. Telangiectatic nevi, erythema toxicum, and periauricular papillomas are unrelated to nuchal cord.
Extract:
A nurse is caring for a client who is experiencing uterine atony immediately following delivery. The client fails to respond to oxytocin administration.
Question 2 of 5
The nurse should anticipate the use of which of the following medications?
Correct Answer: D
Rationale: Methylergonovine is an uterotonic used to treat uterine atony by promoting contractions to control bleeding when oxytocin fails. Betamethasone aids fetal lung maturity, hydralazine treats hypertension, and terbutaline relaxes the uterus.
Extract:
A nurse is reviewing the laboratory results of a client who is at 20 weeks of gestation and has type 1 diabetes mellitus.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A BUN of 25 mg/dL suggests impaired kidney function, requiring reporting, especially in diabetes. Hct of 34%, platelets of 170,000/mm³, and HbA1c of 6% are normal or controlled.
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 4 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 caring for a client who is at 8 weeks of gestation and has an ectopic pregnancy.
Question 5 of 5
Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Sharp pelvic pain is a hallmark of ectopic pregnancy due to implantation outside the uterus, often in the fallopian tube. Bright red discharge, scaphoid abdomen, or elevated blood pressure are not typical.