ATI RN
ATI Maternal Newborn 2019 NGN Questions
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home.
Question 1 of 5
Which of the following statements should the nurse make to the client?
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.
Extract:
A nurse is assessing a client who is at 12 weeks of gestation.
Question 2 of 5
The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?
Correct Answer: C
Rationale: Cervical dilation at 12 weeks is abnormal and suggests an imminent spontaneous abortion, requiring urgent reporting. Scant spotting may be normal, elevated hCG is expected, and slight cramps are common in early pregnancy.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 3 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported for further evaluation. Rust-stained urine (urate crystals), subconjunctival hemorrhage, and transient circumoral cyanosis are common and usually benign in newborns.
Extract:
A nurse is admitting a client who is at 38 weeks of gestation following a spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Exerting upward pressure relieves umbilical cord compression, reducing fetal distress risk until further intervention. Catheters, oxytocin, or lateral positioning do not address immediate cord prolapse.
Extract:
A nurse is caring for a newborn who has neonatal abstinence syndrome.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Minimizing handling reduces stimulation and distress in newborns with neonatal abstinence syndrome. Extended leg swaddling increases discomfort, large feedings risk aspiration, and eye contact may overstimulate.