A patient's newborn is neurologically impaired. The most important nursing action should be:

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ATI Maternal Newborn Proctored Exam 2024 Questions

Question 1 of 5

A patient's newborn is neurologically impaired. The most important nursing action should be:

Correct Answer: A

Rationale: The most important nursing action when a patient's newborn is neurologically impaired is to assist the patient and her family with the grieving process. This situation can be extremely emotionally challenging for the parents and family as they come to terms with the newborn's condition. Providing support, empathy, and resources for coping with the grief is essential in helping the family navigate this difficult time. By being present, listening, and offering comfort, the nurse can help the family process their emotions and begin to cope with the situation. This support is crucial in promoting the overall well-being of the family as they adjust to the new reality of caring for a neurologically impaired newborn.

Question 2 of 5

A nurse is providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following suggested foods should the nurse include in the teaching?

Correct Answer: B

Rationale: Phenylketonuria (PKU) is a genetic disorder where the body cannot metabolize phenylalanine, an amino acid found in protein-containing foods. Patients with PKU need to follow a strict low-phenylalanine diet to prevent the buildup of phenylalanine in the body. Fruits like apples and grapes are low in protein and contain minimal phenylalanine, making them suitable choices for individuals with PKU. The other options listed contain higher amounts of protein and phenylalanine, such as peanut butter, chocolate chip cookies, milk, scrambled eggs, and cheese, which should be avoided by individuals with PKU.

Question 3 of 5

In the male reproductive system, what internal struc- standing of transmission? ture secretes fluid into the semen and is responsible

Correct Answer: C

Rationale: The seminal vesicles are responsible for secreting fluid into the semen during ejaculation. This fluid helps nourish and protect the sperm as they travel through the female reproductive system. The prostate gland, on the other hand, is responsible for producing components of semen that help with sperm motility and viability. The seminal vesicles play a crucial role in the male reproductive system by contributing to the overall composition of semen.

Question 4 of 5

The nurse is caring for a client in the second stage of labor. What assessment indicates that birth is imminent?

Correct Answer: B

Rationale: Crowning occurs when the fetal head becomes visible at the vaginal opening, indicating that birth is imminent.

Question 5 of 5

What is the priority nursing action for a newborn with a temperature of 35.5°C (95.9°F)?

Correct Answer: A

Rationale: Placing the newborn under a radiant warmer helps raise body temperature and prevent complications.

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