ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cool, clammy skin is a hallmark of hypovolemic shock due to vasoconstriction compensating for blood loss. A respiratory rate of 18/min is normal, bounding pulses are not typical, and urinary output of 30 mL/hr is low but not specific to shock.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 3 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV transmission can occur via newborn saliva and urine, requiring contact precautions, making this correct to include. Airborne precautions are not needed, acyclovir is not standard for CMV, and genital lesions are typical of herpes, not CMV.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 4 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the high risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine damages neural tissue, and surgical closure typically occurs within 24-48 hours.