ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing a full-term newborn.
Question 1 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A heart rate of 72/min is significantly lower than the normal range for a newborn (120 to 160 beats per minute) and indicates bradycardia, which should be reported to the provider as it may suggest an underlying issue. Blood pressure of 80/50 mm Hg, respiratory rate of 55/min, and temperature of 36.5°C are all within normal ranges for a full-term newborn.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A heart rate of 72/min is significantly lower than the normal range for a newborn (120 to 160 beats per minute) and indicates bradycardia, which should be reported to the provider as it may suggest an underlying issue. Blood pressure of 80/50 mm Hg, respiratory rate of 55/min, and temperature of 36.5°C are all within normal ranges for a full-term newborn.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 3 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.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine is harmful to neural tissue, and surgery is typically within 24-48 hours.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying that informed consent is obtained before administering any medication or procedure is a crucial nursing responsibility. Informed consent ensures that the client is fully aware of the risks, benefits, and alternatives, and gives permission for the procedure to take place. Placing the client in a semi-Fowler's position is not necessary, as it does not enhance the medication's effectiveness. Instructing the client to avoid urinary elimination is inappropriate and could cause discomfort. Allowing the medication to reach room temperature is not required for dinoprostone inserts per standard protocols.