ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses.
Question 1 of 5
Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?
Correct Answer: C
Rationale: Hemolytic disease occurs when an Rh-negative mother carries an Rh-positive fetus, leading to antibody formation against fetal red blood cells. Other combinations do not cause Rh incompatibility.
Extract:
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus.
Question 2 of 5
Which of the following medications should the nurse expect to administer?
Correct Answer: D
Rationale: Glyburide is used for gestational diabetes to control blood glucose when diet is insufficient. Levothyroxine treats hypothyroidism, nifedipine manages hypertension, and chlorpromazine is for psychiatric conditions.
Extract:
A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Yellow discharge is normal 24-72 hours post-circumcision as part of healing. Testing is unnecessary unless infection is suspected, povidone-iodine may irritate, and wiping may disrupt healing.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assessing the newborn's latch is critical to identify if improper positioning causes sore nipples, allowing correction to alleviate discomfort. Limiting breastfeeding time, offering formula, or spacing feedings 4 hours apart may reduce milk supply or nutrition.
Extract:
A nurse is caring for a client who is in active labour and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia.
Question 5 of 5
Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: Sudden severe pain, hypotension, pallor, and fetal bradycardia suggest uterine rupture, a life-threatening emergency. Amniotic fluid embolism causes respiratory distress, cord prolapse shows variable decelerations, and placenta previa involves painless bleeding.