ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Urine protein of 3+ indicates significant proteinuria, a hallmark of preeclampsia, requiring reporting. Blood glucose of 110 mg/dL, hemoglobin of 13 g/dL, and 2+ reflexes are normal findings.
Extract:
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position.
Question 2 of 5
Which of the following methods should the nurse use to elicit the Moro reflex?
Correct Answer: A
Rationale: The Moro reflex is elicited by making a loud noise above the newborn, causing a startle response with arm and leg extension.
Touching the cheek elicits the rooting reflex, tapping the forehead has no specific reflex, and turning the head elicits the tonic neck reflex.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Amniocentesis assesses for genetic disorders, not just fetal sex, and is not age-restricted or scheduled same-day without indication. Chorionic villus sampling is an alternative but not the default.
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 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 5 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.