ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. This instruction is important for establishing and maintaining a good milk supply, promoting proper infant growth and development, and preventing common breastfeeding issues like engorgement and mastitis. Feeding on demand also helps ensure the baby receives enough nutrients and helps establish a strong breastfeeding relationship.
A: Feed the newborn 5 to 10 min per breast - This is incorrect as it may not allow the baby to get enough hindmilk, which is essential for proper growth.
B: Offer the newborn 30 mL (1 oz) of water between feedings - Giving water to newborns can interfere with breastfeeding and may lead to water intoxication.
C: Expect two to four wet diapers every 24 hr - While monitoring diaper output is important, this alone does not provide adequate guidance on feeding frequency.
Question 2 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is mainly found in animal products, making it challenging for vegans to obtain sufficient amounts. Fortified soy milk is a great source of vitamin B12 for vegans. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12. It is important for the nurse to recommend a food source that is rich in vitamin B12 to help the client meet their nutritional needs.
Question 3 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Verify that informed consent is obtained prior to administration.
Rationale: Informed consent is a crucial ethical and legal requirement before any medical procedure. It ensures the client is aware of the risks, benefits, and alternatives to the treatment. Verifying informed consent protects the client's autonomy and prevents potential legal issues.
Incorrect
Choices:
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position after administration is not a standard practice for this procedure.
C: Instructing the client to avoid urinary elimination is unnecessary and could lead to discomfort and potential complications.
E, F, G: No additional choices provided, but they would likely be incorrect as well as they do not address the key safety and ethical considerations associated with administering dinoprostone insert for labor induction.
Question 4 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck at birth. This can cause pressure on the baby's blood vessels, leading to tiny red or purple spots on the face called petechiae. This finding indicates possible trauma during delivery. Telangiectatic nevi (choice
A) are not typically associated with nuchal cords. Periauricular papillomas (choice
C) are benign growths near the ear and are unrelated to nuchal cords. Erythema toxicum (choice
D) is a common newborn rash that is not specifically linked to nuchal cords.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding is associated with Down Syndrome, which requires further evaluation by the provider. Single palmar creases are a physical characteristic commonly seen in infants with Down Syndrome. Reporting this to the provider allows for early intervention and appropriate management.
Choices B, C, D, and E are incorrect because Down Syndrome (choice
B) is not a clinical finding to report but rather a condition associated with single palmar creases. Rust-stained urine (choice
C) may indicate hematuria but is not a common concern in newborns. Transient circumoral cyanosis (choice
D) is a common finding in newborns that usually resolves on its own. Subconjunctival hemorrhage (choice E) is also a common and benign finding in newborns.