ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to protect the newborn's eyes from exposure to the bright light used in phototherapy, which can cause damage if the eyes are left open. Closing the eyes with eyepatches ensures that the light therapy is safely administered without harming the eyes.
A: Providing glucose water is not relevant to managing jaundice with phototherapy.
B: Turning the newborn every 4 hours is important for preventing pressure ulcers, but it is not directly related to phototherapy.
C: Applying hydrating lotion is not necessary before phototherapy and may interfere with the treatment.
E, F, G: Not provided.
Question 2 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is important because postpartum changes in the body can affect the fit of the diaphragm. A refitting ensures proper size and fit for effective contraception.
Choice B is incorrect because oil-based lubricants can damage latex diaphragms.
Choice C is incorrect as the diaphragm should be kept in place for at least 6-8 hours, not 4 hours, for effective contraception.
Choice D is incorrect as diaphragms should be stored dry, not in sterile water, to prevent damage.
Question 3 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can potentially worsen the injury and increase the risk of infection. The suppository insertion may cause trauma to the already compromised tissue, leading to further complications. It is crucial to avoid any interventions that can exacerbate the injury and hinder the healing process.
Choices A, B, and C are not contraindications to using a suppository. Vaginal candidiasis, abdominal distention, and afterpains do not directly impact the safety or effectiveness of using a suppository in this scenario.
Question 4 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 8 tablets.
To calculate the dose, divide the total dose by the dose per tablet. In this case, 2 g equals 2000 mg.
Therefore, divide 2000 mg by 250 mg (dose per tablet), which equals 8 tablets. Each tablet contains 250 mg, so to reach the total dose of 2000 mg, the nurse needs to administer 8 tablets.
Choice B (4 tablets) is incorrect because it would only provide 1000 mg, not the required 2000 mg.
Choice C (2 tablets) would provide only 500 mg, not the required dose.
Choice D (1 tablet) would provide only 250 mg, which is insufficient.
Question 5 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: C, D
Rationale: The correct manifestations of SSRI withdrawal in a newborn are bradypnea and vomiting. SSRIs can cross the placenta, causing the newborn to experience withdrawal symptoms due to drug discontinuation postnatally. Bradypnea, slow breathing, and vomiting are common withdrawal symptoms in newborns exposed to SSRIs in utero. Large for gestational age and hyperglycemia are not typical manifestations of SSRI withdrawal. Large for gestational age is more related to maternal factors such as gestational diabetes, while hyperglycemia is not a common withdrawal symptom of SSRIs.