ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A newborn who was born via a forceps-assisted birth.
Question 1 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: D
Rationale: The correct answer is D: Facial asymmetry. Forceps during delivery can cause pressure and trauma to the baby's face, leading to facial asymmetry. The forceps compress one side of the face more than the other, resulting in an uneven appearance. Depressed anterior fontanel (
A) is not typically associated with forceps delivery. Uneven gluteal skinfolds (
B) and epicanthal folds (
C) are not specific indicators of forceps injury. In summary, facial asymmetry is a common finding in babies delivered with forceps due to the pressure exerted on the face during delivery.
Extract:
A newborn who was born at 39 weeks of gestation and is 36 hours old.
Question 2 of 5
Which of the following findings should the nurse report to the provider? Select all that apply.
Correct Answer: C,D,F
Rationale: The nurse should report findings that indicate potential issues requiring provider intervention. Coombs test result (
C) is crucial for detecting autoimmune hemolytic anemia. Abnormal sclera color (
D) may indicate liver dysfunction or jaundice. Intake and output (F) are essential for monitoring fluid balance. Glucose level (
A) is important but typically not an urgent concern. Head assessment finding (
B) may be relevant, but it depends on the specific abnormality. Heart rate (E) and mucous membrane assessment (G) are vital but generally do not require immediate provider notification.
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.
Extract:
A client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 4 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 tablets per dose. This is because when rounding to the nearest tenth, 0.5 falls midway between 0 and 1. In this case, 0.5 is closer to 0 than to 1, so we round down to 0.5. The other choices are incorrect as follows: A: 0 -
Too low, as 0.5 is closer to 1 than to 0. B-G: Any whole number or fraction greater than 0.5 is incorrect because rounding 0.5 down to the nearest tenth results in 0.5 tablets per dose.
Extract:
A client who is 1 hr postpartum and has preeclampsia without severe features.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess for edema. It is important for the nurse to assess for edema as it can indicate fluid overload or renal dysfunction, both of which require prompt intervention. Edema assessment involves checking for swelling in the extremities, pitting edema, and monitoring intake and output. Obtaining a prescription for misoprostol (
A) is not necessary without a specific indication. Restricting daily oral fluid intake (
C) could be harmful, especially if the patient is already dehydrated. Administering an IV bolus of lactated Ringer's (
D) is not appropriate without a physician's order and assessment indicating the need for fluid resuscitation.