ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses.
Question 1 of 5
Which of the following instructions should the nurse manager include in the teaching?
Correct Answer: D
Rationale: Placing newborn bassinets at least 3 feet apart is a key infection control measure to prevent cross-contamination and reduce infection spread. Masks for parents are not standard, airborne precautions are not routine, and sterile fields for heelsticks are specific to the procedure, not general nursery policy.
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 is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus B-hemolytic.
Question 3 of 5
Which of the following medications should the nurse plan to administer to the client?
Correct Answer: C
Rationale: Ampicillin is the CDC-recommended first-line antibiotic for group B streptococcus prophylaxis to prevent neonatal infection. Doxycycline and fluconazole are ineffective against GBS, and cefotetan is a second-line option.
Extract:
A nurse is providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 4 of 5
Which of the following food selections has the highest fibre content per cup?
Correct Answer: C
Rationale: Lentils have the highest fibre content per cup compared to oatmeal, cabbage, and asparagus, providing both soluble and insoluble fibre to promote bowel regularity and alleviate constipation. Oatmeal and cabbage have moderate fibre, while asparagus has less.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 5 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine (urate crystals), subconjunctival hemorrhage, and transient circumoral cyanosis are common and usually benign in newborns.