ATI RN
ATI Maternal Newborn 2019 NGN Questions
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 1 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 caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain.
Question 2 of 5
Which of the following findings should the nurse report to the provider following this medication?
Correct Answer: C
Rationale: A respiratory rate of 100/min is abnormally high and suggests respiratory compromise, a potential side effect of butorphanol, requiring reporting. Blood pressure, fetal heart variability, and urinary output are within acceptable ranges.
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 3 of 5
Which of the following clinical findings should the nurse expect?
Correct Answer: D
Rationale: Facial petechiae are expected with a nuchal cord due to pressure during delivery causing minor hemorrhages. Telangiectatic nevi, erythema toxicum, and periauricular papillomas are unrelated to nuchal cord.
Extract:
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 4 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ultrasound in the first trimester is primarily used to determine gestational age, confirm viability, and assess for anomalies. Biophysical profiles, placental maturity, and growth restriction are evaluated later in pregnancy.
Extract:
A nurse is providing teaching about increasing dietary fibre to an antepartum client who reports constipation.
Question 5 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.