ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a newborn immediately following birth.
Question 1 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 2 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: The correct answer is B: Facial palsy. This birth method refers to a forceps delivery, which can cause nerve damage leading to facial palsy. Forceps application during delivery can put pressure on the baby's facial nerves, resulting in temporary or permanent facial paralysis. Polycythemia (
A) is not typically associated with forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition in premature babies, not directly related to forceps delivery. Hypoglycemia (
D) can occur in newborns due to various reasons, but it is not a specific complication of forceps delivery.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because chorionic villus sampling is used to detect genetic disorders, not determine the baby's sex (
A). Offering to schedule the procedure immediately without discussing risks or benefits (
C) is not appropriate. The statement about age restriction for amniocentesis (
D) is false and misleading. It's important for the nurse to focus on the purpose of the procedure, which is to identify genetic or congenital disorders in the baby (
B).
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 4 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates an understanding of safe positioning for a car seat to protect the baby's airway and prevent slouching. Placing the car seat at a 45-degree angle helps keep the baby's head from falling forward, ensuring proper breathing.
Choice B is incorrect as a car seat challenge test is typically done in the hospital, not before discharge.
Choice C is incorrect because babies should remain rear-facing until at least 2 years old for optimal safety.
Choice D is incorrect because using bulky items like sleep sacks in the car seat can compromise the harness's effectiveness.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and pain in the flank area. Flank pain is a common symptom due to the infection in the renal pelvis and kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) is a general sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more associated with gastrointestinal problems.