ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Question 1 of 5
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B. Failure to pass meconium stool within the first 24-48 hours after birth can indicate a possible intestinal obstruction or other issues that need immediate attention. Reporting this finding to the provider is crucial for further evaluation and intervention.
Choices A, C, and D are normal findings in newborns and do not require immediate reporting. E, F, and G are not applicable in this context.
Extract:
A nurse in a clinic a caring for a 16-year-old adolescent
Exhibit1:
Provider Prescriptions: Standing prescriptions for clients who present with abdominal. Obtain laboratory
tests, Urinalysis, Cervical culture C-reactive protein Beta Hcg
Question 2 of 5
Which of the following findings should the nurse report to the provider? Select all that apply
| Abdominal assessment. |
| Vaginal Discharge. |
| Heart rate. |
| Temperature. |
| Dyspareunia. |
| Condom usage. |
Correct Answer: B, E
Rationale:
The nurse should report vaginal discharge (
B) as it could indicate infection or other issues. Dyspareunia (E) should also be reported as it can indicate underlying problems. Abdominal assessment (
A) may be part of routine care but doesn't necessarily require immediate reporting. Heart rate (
C) and temperature (
D) are vital signs that should be monitored but don't specifically indicate a need for immediate reporting. Condom usage (F) is important for sexual health discussions but does not require reporting to the provider.
Extract:
Question 3 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Pain assessment in newborns can be challenging due to their limited ability to communicate. Chin quivering is a common behavioral indicator of pain in newborns. It is a subtle sign of distress and discomfort. Other choices such as decreased heart rate (
A), pinpoint pupils (
C), and slowed respirations (
D) are not reliable indicators of pain in newborns. Decreased heart rate can indicate relaxation, pinpoint pupils are more indicative of opioid use, and slowed respirations might be a sign of sleepiness or relaxation rather than pain.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Report the client's condition to the local health department. This is important to ensure proper monitoring, follow-up, and infection control measures. Reporting is necessary for contact tracing, prevention of transmission, and accessing appropriate support services. Administering penicillin G (
A) is not indicated for HIV; the client needs antiretroviral therapy. Scheduling annual pelvic exams (
B) is important for general health but not specific to HIV care. Waiting until after delivery to start HIV medication (
C) is not recommended as timely treatment is crucial.
Question 5 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is crucial for accurate identification. This step confirms that the parent is indeed the rightful guardian of the newborn, preventing mix-ups and ensuring the newborn's safety. Verifying the parent's identity through their name and date of birth (Option
B) is helpful but not as reliable as matching identification band numbers. Checking the newborn's security tag number (Option
C) is important for hospital security but does not directly verify the parent's identity. Matching the newborn's date and time of birth to the information in the parent's medical record (Option
D) is not as specific and reliable as matching identification band numbers.