ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is teaching a newly hired nurse about Apgar scoring.
Question 1 of 5
Which of the following statements by the newly hired nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: Measuring muscle tone is part of Apgar scoring (appearance, pulse, grimace, activity, respiration). Apgar is assessed at 1 and 5 minutes, a score of 8 is normal, and resuscitation should not wait for scoring.
Extract:
A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud.
Question 2 of 5
The nurse should identify that this finding indicates which of the following conditions?
Correct Answer: C
Rationale: A flat areola with no bud suggests a congenital anomaly in breast tissue development, requiring further evaluation. Preterm infants have immature tissue, low hormones affect size, and ambiguity involves unclear sex characteristics.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Administering broad-spectrum antibiotics prevents infection, critical due to the risk of meningitis from leaking cerebrospinal fluid. Temperature monitoring is secondary, povidone-iodine is harmful to neural tissue, and surgery is typically within 24-48 hours.
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 assessing a full-term newborn.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A heart rate of 72/min is significantly lower than the normal range for a newborn (120 to 160 beats per minute) and indicates bradycardia, which should be reported to the provider as it may suggest an underlying issue. Blood pressure of 80/50 mm Hg, respiratory rate of 55/min, and temperature of 36.5°C are all within normal ranges for a full-term newborn.