ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn 12 hours after birth can indicate hyperbilirubinemia, which may require medical intervention to prevent complications such as kernicterus. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is a temporary misalignment of the eyes. Caput succedaneum (
D) is localized swelling on a newborn's head from pressure during birth and resolves on its own.
Question 2 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because assisting the client to ambulate to the bathroom can help relieve pressure on the bladder and facilitate urination. Walking can also help stimulate bladder emptying. Inserting a urinary catheter (
Choice
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
Choice
C) may be considered if the client continues to have difficulty urinating after ambulating. Administering a diuretic (
Choice
D) is not indicated as it may exacerbate the issue by increasing urine production without addressing the underlying cause.
Question 3 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This instruction is important for newborn care as it helps prevent skin irritation and infection. Washing with plain water is gentle and safe for the baby's delicate skin. Other choices are incorrect: A is incorrect because bathing immediately after a feeding can lead to discomfort and potential regurgitation. B is incorrect as bumper pads pose a suffocation hazard for infants. C is incorrect as a soft mattress increases the risk of sudden infant death syndrome.
Question 4 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale: Option D is correct because pressing the handheld button when feeling the baby move during the nonstress test helps to record fetal movements and heart rate changes. This action ensures accurate monitoring of the baby's well-being. Option A is incorrect because the duration of the test can vary and is not necessarily limited to 10-15 minutes. Option B is incorrect as pregnant clients should not lie in a supine position for extended periods due to the risk of supine hypotensive syndrome. Option C is incorrect as fasting is not necessary for a nonstress test.
Question 5 of 5
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. The McRoberts maneuver involves flexing the client's hips by bringing their knees towards their abdomen. This action helps to widen the pelvic outlet, allowing the baby's shoulder to disengage from the pubic bone and facilitate delivery. Applying pressure to the fundus (choice
A) is not indicated in managing shoulder dystocia. Pressing firmly on the suprapubic area (choice
B) may not effectively resolve the shoulder dystocia. Moving the client onto their hands and knees (choice
C) may not be as effective as the McRoberts maneuver in relieving shoulder dystocia.
Therefore, assisting the client in pulling their knees towards their abdomen is the most appropriate action in this scenario.