ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is in active labour and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia.
Question 1 of 5
Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: Sudden severe pain, hypotension, pallor, and fetal bradycardia suggest uterine rupture, a life-threatening emergency. Amniotic fluid embolism causes respiratory distress, cord prolapse shows variable decelerations, and placenta previa involves painless bleeding.
Extract:
A nurse is admitting a client who is at 38 weeks of gestation following a spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Exerting upward pressure relieves umbilical cord compression, reducing fetal distress risk until further intervention. Catheters, oxytocin, or lateral positioning do not address immediate cord prolapse.
Extract:
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Question 3 of 5
Which of the following instructions should the nurse manager include in the teaching?
Correct Answer: D
Rationale: Placing newborn bassinets at least 3 feet apart is a key infection control measure to prevent cross-contamination and reduce infection spread. Masks for parents are not standard, airborne precautions are not routine, and sterile fields for heelsticks are specific to the procedure, not general nursery policy.
Extract:
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses.
Question 4 of 5
Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody formation against fetal red blood cells. Other combinations do not cause Rh incompatibility.
Extract:
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client in a lateral position improves uteroplacental blood flow, addressing late decelerations indicating fetal hypoxia. Decreasing IV fluids, low-flow oxygen, or misoprostol do not correct the underlying issue.