ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 1 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 performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 2 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 receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing.
Question 3 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.
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 4 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 client who has maternal hypotension following the placement of an epidural.
Question 5 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.