ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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 nerve injury and facial palsy in the newborn. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is not typically associated with forceps-assisted birth. Hypoglycemia (
B) may occur due to various reasons but is not directly related to the birth method. Bronchopulmonary dysplasia (
C) is a lung condition often seen in premature infants on long-term ventilation. In summary, facial palsy is a potential complication of forceps-assisted birth due to nerve compression, while the other options are less likely to be directly linked to this birth method.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D. In a nonstress test, the client is instructed to press a button each time fetal movement is detected. This action helps to correlate fetal movement with fetal heart rate patterns, providing valuable information on fetal well-being. Maintaining NPO status (
A) is not necessary for this test. Placing the client in a supine position (
B) can compress the vena cava and decrease blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting the test results.
Question 3 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication requiring immediate medical attention. Cool, clammy skin suggests poor perfusion and potential hemorrhage. Reporting this to the provider promptly can help prevent further complications.
Choices B, C, and D are within the expected range for a postpartum client and do not indicate a need for immediate intervention. Lochia serosa is the normal vaginal discharge after childbirth. A heart rate of 89/min and blood pressure of 120/70 mm Hg are also within normal limits for a postpartum client.
Question 4 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: The correct answer is C: Biophysical profile (BPP). At 41 weeks gestation with a positive contraction stress test, the BPP is indicated to assess fetal well-being. BPP evaluates fetal heart rate, fetal movements, fetal tone, amniotic fluid volume, and sometimes a nonstress test. This test provides information on fetal oxygenation and overall health. The other choices are incorrect because:
A) Percutaneous umbilical blood sampling is used to assess fetal blood gases and acid-base balance, typically in cases of suspected fetal compromise.
B) Amnioinfusion involves infusing sterile fluid into the amniotic cavity, usually to correct oligohydramnios.
D) Chorionic villus sampling is a prenatal diagnostic test used to detect genetic abnormalities.
Question 5 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A: Lays the newborn across their lap and gently sways. This is a positive parenting behavior because it promotes bonding through physical touch and movement, mimicking the comfort of being held. It also helps soothe the baby by providing a rhythmic motion.
Choice B is incorrect as placing the newborn in a crib in a prone position is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
Choice C is incorrect as offering a pacifier dipped in formula can lead to overfeeding and potential dental issues.
Choice D is incorrect as feeding a newborn formula mixed with rice cereal is not appropriate as rice cereal is not recommended for infants under 4-6 months old and can be a choking hazard.