ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 1 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: CMV transmission can occur via newborn saliva and urine, requiring contact precautions, making this correct to include. Airborne precautions are not needed, acyclovir is not standard for CMV, and genital lesions are typical of herpes, not CMV.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks is excessive, suggesting possible macrosomia or polyhydramnios, common in gestational diabetes, and should be reported. Fasting glucose of 90 mg/dL is normal, 12 fetal movements are reassuring, and nonpitting edema is not immediately concerning.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the high risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine damages neural tissue, and surgical closure typically occurs within 24-48 hours.
Extract:
A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulphate via continuous IV infusion.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes indicate magnesium toxicity, a serious complication requiring immediate reporting to the provider to prevent respiratory depression or cardiac arrest. Decreased contractions are a desired effect, high blood pressure is unrelated to magnesium toxicity, and urinary output of 35 mL/hr is low but not critical unless it persists.
Extract:
A nurse in a newborn nursery is receiving change-of-shift report for four newborns.
Question 5 of 5
Which of the following newborns should the nurse assess first?
Correct Answer: D
Rationale: New onset tachypnea (respiratory rate >60/min) in a 10-hour-old newborn suggests respiratory distress or serious conditions like sepsis, requiring immediate assessment. Feeding issues, delayed meconium, and blood-tinged discharge are less urgent.