ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Grilled chicken, when properly cooked, is safe during pregnancy, unlike soft cheese, deli seafood salad, or hot dogs, which carry risks of Listeria contamination. The client's statement about grilled chicken indicates understanding of safe dietary choices to avoid listeriosis.
Extract:
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position.
Question 2 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 client who is 6 hr postpartum and has endometritis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common finding in endometritis due to uterine inflammation or infection. A temperature of 37.4°C is normal, a WBC count of 9,000/mm³ is not elevated as expected in infection, and scant lochia is normal, not indicative of endometritis.
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 instructions to a client who is breastfeeding her newborn.
Question 5 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.