ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy.
Question 1 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 teaching a newly hired nurse about Apgar scoring.
Question 2 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 caring for a client who has maternal hypotension following the placement of an epidural.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a bolus of lactated Ringer's treats hypotension by increasing blood volume, counteracting epidural-induced vasodilation. Knee-chest position, terbutaline, or low-flow oxygen are not appropriate for this scenario.
Extract:
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Urine protein of 3+ indicates significant proteinuria, a hallmark of preeclampsia, requiring reporting. Blood glucose of 110 mg/dL, hemoglobin of 13 g/dL, and 2+ reflexes are normal findings.
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.