ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is caring for a client who is in labour.
Question 1 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: D
Rationale: An urge to have a bowel movement during contractions may indicate the baby's head is descending, signaling the need to push. This requires reassessment to check dilation. Intense contractions, sacral discomfort, and excitement with flushed skin are normal labor findings.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.
Extract:
A nurse is assessing a newborn who is 4 hr old.
Question 3 of 5
Which of the following findings should the nurse identify as the priority to report to the provider?
Correct Answer: C
Rationale: Forward and lateral ear positioning may indicate genetic conditions like Down syndrome, requiring urgent evaluation. Acrocyanosis, cranial molding, and milia are common and less concerning.
Extract:
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 4 of 5
Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: Hearing loss is a frequent manifestation of congenital CMV, affecting many symptomatic infants. Cataracts, macrosomia, and UTIs are not typical; CMV may cause growth restriction or other systemic signs.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 5 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.