ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a newborn who is 4 hr old.
Question 1 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 performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 3 of 5
Which of the following food selections has the highest fibre content per cup?
Correct Answer: C
Rationale: Lentils have the highest fibre content per cup compared to oatmeal, cabbage, and asparagus, providing both soluble and insoluble fibre to promote bowel regularity and alleviate constipation. Oatmeal and cabbage have moderate fibre, while asparagus has less.
Extract:
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn.
Question 4 of 5
Which of the following instructions should the nurse give the client?
Correct Answer: A
Rationale: Maintaining scheduled mealtimes is essential for a postpartum client with type 1 diabetes who is breastfeeding to stabilize blood glucose levels. Checking blood glucose every 8 hours is insufficient; more frequent monitoring is needed. Insulin requirements may decrease postpartum, not increase, and limiting carbohydrates to 30 grams per day is too restrictive for breastfeeding energy needs.
Extract:
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Question 5 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.