ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn.
Question 1 of 5
Which of the following instructions should the nurse give the client?
Correct Answer: A
Rationale: Maintaining scheduled mealtimes is essential for a postpartum client with type 1 diabetes who is breastfeeding to stabilize blood glucose levels. Checking blood glucose every 8 hours is insufficient; more frequent monitoring is needed. Insulin requirements may decrease postpartum, not increase, and limiting carbohydrates to 30 grams per day is too restrictive for breastfeeding energy needs.
Extract:
A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses.
Question 2 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 assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: Jitteriness is a common sign of hypoglycemia in newborns due to low glucose affecting neurological function. Abdominal distention, petechiae, and increased muscle tone are not typical hypoglycemia symptoms.
Extract:
A nurse in the labour and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Following the birth of the newborn.
Question 4 of 5
Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Cleansing the newborn immediately after delivery reduces the risk of HIV transmission by removing maternal blood or fluids. IV antibiotics are not routine for HIV exposure, breastfeeding is contraindicated, and contact precautions are unnecessary as HIV is not spread by casual contact.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 5 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.