ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is providing teaching to a client about postpartum care.
Question 1 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement 3-5 days postpartum is normal due to milk production. Kegels can start immediately, breastfeeding is not reliable contraception, and lochia transitions from red to lighter colors within weeks.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Allowing the baby to feed at least every 3 hours ensures adequate nutrition and stimulates milk production. Water supplementation is unnecessary, limiting feeding time to 5-10 minutes may reduce intake, and expecting only 2-4 wet diapers is too low; 6 or more are typical.
Extract:
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Decreased activity level over the last 12 hr. Abdominal distention. Three bloody stools over the last 4 hr. Superficial rash on the abdominal wall. Light palpation of the abdomen leads to fist clenching, thrashing, and crying.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Inserting an orogastric tube decompresses the gastrointestinal tract, addressing abdominal distention and bloody stools, which suggest a serious condition like necrotizing enterocolitis. Measuring circumference, iron formula, or nitric oxide do not address the acute issue.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago.
Question 4 of 5
Which of the following findings places the client at risk for postpartum haemorrhage?
Correct Answer: B,C,E
Rationale: History of uterine atony, oxytocin induction, and vacuum-assisted delivery increase postpartum hemorrhage risk due to impaired uterine contraction, hyperstimulation, or trauma. Newborn weight and HPV are unrelated.
Extract:
A nurse is assessing a full-term newborn.
Question 5 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.