ATI RN
ATI Maternal Newborn 2019 NGN Questions
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 1 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 is in active labor. The nurse administers butorphanol IV bolus for pain.
Question 2 of 5
Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min is abnormally high and suggests respiratory compromise, a potential side effect of butorphanol, requiring reporting. Blood pressure, fetal heart variability, and urinary output are within acceptable ranges.
Extract:
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud.
Question 3 of 5
The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: C
Rationale: A flat areola with no bud suggests a congenital anomaly in breast tissue development, requiring further evaluation. Preterm infants have immature tissue, low hormones affect size, and ambiguity involves unclear sex characteristics.
Extract:
A nurse on an antepartum unit is reviewing the medical records for four clients.
Question 4 of 5
Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: A sodium level of 110 mEq/L in hyperemesis gravidarum is critically low, risking severe complications, and requires immediate assessment. Placenta previa, controlled diabetes, and normal creatinine are less urgent.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 5 of 5
Which of the following statements should the nurse make to the client?
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.