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 assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Question 2 of 5
Which of the following findings should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: Hearing loss is a frequent manifestation of congenital CMV, affecting many symptomatic infants. Cataracts, macrosomia, and UTIs are not typical; CMV may cause growth restriction or other systemic signs.
Extract:
A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia.
Question 3 of 5
The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
Correct Answer: A
Rationale: Urine output of 20 mL/hr indicates possible magnesium sulfate toxicity, affecting kidney function, and requires immediate attention. Hypertension is expected in preeclampsia, hyperglycemia is unrelated, and a respiratory rate of 16/min is normal.
Extract:
A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation.
Question 4 of 5
Which of the following findings requires intervention by the nurse?
Correct Answer: C
Rationale: One acceleration in 20 minutes suggests a nonreactive nonstress test, requiring intervention to assess fetal well-being. A 20-beat FHR peak is normal, and mild contractions are not concerning unless painful.
Extract:
A nurse is caring for a newborn.
Question 5 of 5
Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
Correct Answer: D
Rationale: Coughing suggests secretions or obstruction in the nasopharynx, indicating a need for suctioning to clear the airway. Irregular respiratory rate, a rate of 32/min, or pulse oximetry of 91% may warrant monitoring but do not specifically indicate suctioning.