ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 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 because not passing meconium within 24-48 hours after birth can indicate a possible bowel obstruction or other underlying issue that needs immediate attention. Erythema toxicum (choice
A) is a common benign newborn rash. Pink-tinged urine (choice
C) may be due to uric acid crystals, which is normal in newborns. An axillary temperature of 37.7°C (99.9°F) (choice
D) is slightly elevated, but not alarming in a newborn.
Question 2 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 because not passing meconium within 24-48 hours after birth can indicate a possible bowel obstruction or other underlying issue that needs immediate attention. Erythema toxicum (choice
A) is a common benign newborn rash. Pink-tinged urine (choice
C) may be due to uric acid crystals, which is normal in newborns. An axillary temperature of 37.7°C (99.9°F) (choice
D) is slightly elevated, but not alarming in a newborn.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 3 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.
Extract:
Question 4 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 newborns can manifest as respiratory distress due to inadequate glucose supply to meet the energy demands of breathing. Hypertonia, increased feeding, and hyperthermia are not specific signs of hypoglycemia in newborns. Hypertonia may indicate other conditions like hypocalcemia, while increased feeding may be a compensatory mechanism to increase blood glucose levels. Hyperthermia can be caused by various factors unrelated to hypoglycemia in this context.
Question 5 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. Palpating the uterus above the umbilicus indicates uterine atony, which can be caused by a distended bladder pressing on the uterus. Emptying the bladder helps the uterus contract effectively, preventing postpartum hemorrhage.
Choice A is incorrect as immediate intervention is needed.
Choice B (administering simethicone) is irrelevant to the situation.
Choice D (instructing the client to lie on their right side) does not address the underlying issue.