ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a newborn can lead to inadequate glucose supply to the brain, causing respiratory distress due to central nervous system depression. Hypertonia (choice
A) is typically seen in hypocalcemia. Increased feeding (choice
B) may be a compensatory mechanism to address hypoglycemia. Hyperthermia (choice
C) is not a common manifestation of hypoglycemia. It is important to monitor for signs of respiratory distress in a late preterm newborn to promptly address hypoglycemia.
Question 2 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.
Correct Answer: A,B,CD
Rationale: The correct sequence for performing Leopold maneuvers is A, B, C, and D. Firstly, palpating the fundus (
A) helps identify the fetal part and presentation. Secondly, determining the location of the fetal back (
B) provides information on the fetal lie. Next, palpating for the fetal part at the inlet (
C) helps confirm the presenting part. Lastly, identifying the attitude of the head (
D) provides important information on the fetal position for delivery. This sequence ensures a systematic approach to assessing the fetal presentation and position.
Choices E, F, and G are incorrect as they do not follow the logical order of Leopold maneuvers and may lead to inaccurate assessment.
Question 3 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 48 hours could indicate a bowel obstruction, so it must be reported to the provider for further evaluation. A: Erythema toxicum is a common benign rash in newborns. C: Pink-tinged urine in a newborn may be due to urate crystals and is considered normal. D: An axillary temperature of 37.7°C is within the normal range for newborns.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests:
Urinalysis
Cervical culture
C-reactive protein
Beta hCG
Question 4 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. A nurse should report abnormalities in abdominal assessment (
A) as it can indicate various health issues. Vaginal discharge (
B) can be a sign of infection or other conditions, warranting attention. Temperature (
D) is a vital sign that can indicate infection or illness. Dyspareunia (E) is a symptom of possible gynecological issues that require evaluation. Condom usage (F) is important for assessing safe sex practices and potential risk factors. Heart rate (
C) is a routine vital sign and not typically a finding that requires immediate reporting unless it is significantly abnormal.
Extract:
Question 5 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is typically spread through direct contact with an infected person or contaminated surfaces.
Therefore, the nurse should implement contact precautions to prevent the transmission of the bacteria. This includes wearing gloves and gowns when entering the client's room, ensuring proper hand hygiene, and using dedicated patient care equipment. Droplet precautions (choice
A) are used for pathogens spread via respiratory droplets, such as influenza. Protective environment (choice
C) is used for immunocompromised clients to protect them from environmental pathogens. Airborne precautions (choice
D) are for pathogens that remain suspended in the air, like tuberculosis.