ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 1 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 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 caring for a client who has bladder distention following a vaginal birth.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Assisting the client to the bathroom encourages natural voiding to relieve bladder distention, the first step to avoid invasive measures. Sitz baths, catheterization, or warm water are secondary if voiding fails.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 4 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 client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A cool sitz bath reduces swelling and pain for a fourth-degree laceration. Methylergonovine treats uterine atony, warm compresses may increase swelling, and povidone-iodine risks irritation.