ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 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 (p200Down Syndrome). This finding is significant because it is associated with Down Syndrome. The nurse should report this to the provider for further evaluation and potential genetic testing. Single palmar creases are a physical characteristic that can indicate the presence of genetic abnormalities. The other choices are common findings in newborns that do not necessarily require immediate reporting. Rust-stained urine may be due to urate crystals, transient circumoral cyanosis can be a normal response to cold or crying, and subconjunctival hemorrhage is often benign and resolves on its own.
Therefore, the nurse should prioritize reporting the single palmar creases to the provider for further assessment.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: The nurse should interpret Proteinuria 2+ as a sign of a potential worsening condition due to kidney damage. Hematuria could indicate a urinary tract issue but is less specific than proteinuria for this client. Leukorrhea is unrelated to the diagnosis. Positive clonus is typically associated with neurological issues, not related to kidney function. BUN and platelet count are not provided in the table, so they should not be considered in the interpretation.
Extract:
Question 3 of 5
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. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. At 12 weeks of gestation, amniocentesis is typically performed to detect genetic abnormalities, not to determine the sex of the fetus. This procedure involves collecting a sample of amniotic fluid to analyze the chromosomes for conditions like Down syndrome. Option A is incorrect as age is not a factor in determining the need for amniocentesis. Option C is incorrect because chorionic villus sampling is used for genetic testing, not determining the sex of the baby. Option D is incorrect because scheduling the procedure without addressing the client's request for sex determination is inappropriate.
Question 4 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to create memories and acknowledge the loss, aiding in the grieving process. It also validates the existence of the stillborn and helps with closure.
A: Limiting the time the fetus is in the room may not address the emotional needs of the client.
C: Instructing the client about a mandatory autopsy may be insensitive and overwhelming during this emotional time.
D: Informing the client about a law requiring them to name the fetus is incorrect and may add unnecessary stress.
Question 5 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.