ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position.
Question 1 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 performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes mellitus. The test reveals no accelerations of fetal heart rate for 20 min.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vibroacoustic stimulation is appropriate to stimulate fetal heart rate accelerations during a nonstress test if none are observed, as it may elicit a response indicating fetal well-being. Trendelenburg position, vaginal exams, or Coombs' tests are not indicated for a nonreactive nonstress test.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: Advanced labor (80% effaced, 8 cm dilated) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony. Incompetent cervix, ectopic pregnancy, and hyperemesis are unrelated to this stage.
Extract:
A nurse is providing teaching to a client about postpartum care.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: C
Rationale: Breast engorgement 3-5 days postpartum is normal due to milk production. Kegels can start immediately, breastfeeding is not reliable contraception, and lochia transitions from red to lighter colors within weeks.
Extract:
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Early decelerations are benign, caused by head compression, and require only continued monitoring. Discontinuing oxytocin, changing position, or giving oxygen is unnecessary unless decelerations worsen.