ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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. 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.
Question 2 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). During pregnancy, there is an increased risk of gestational diabetes, where blood glucose levels may become elevated. A fasting blood glucose level of 180 mg/dL is significantly higher than the normal range of 74 to 106 mg/dL, indicating hyperglycemia. High blood glucose levels can have adverse effects on both the mother and the developing fetus, such as macrosomia (large birth weight), birth complications, and potential long-term health risks.
Therefore, the nurse should report this finding to the provider promptly for further evaluation and management.
Incorrect choices:
A: Hematocrit within the range is normal during pregnancy.
B: Creatinine within the range is normal and indicates normal kidney function.
C: WBC count slightly elevated is common during pregnancy due to physiological changes.
Question 3 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations in fetal heart rate (FHR) indicate uteroplacental insufficiency, possibly due to decreased oxygen supply to the fetus. Providing oxygen via nonrebreather facemask can help increase oxygenation to the mother, subsequently improving oxygen delivery to the fetus. This intervention aims to address the underlying cause of late decelerations and improve fetal oxygenation.
Choice A is incorrect because instructing the client to bear down and push with contractions can further compromise fetal oxygenation.
Choice C is incorrect as placing the client in a supine position can worsen late decelerations by reducing placental perfusion.
Choice D, initiating an amnioinfusion, is not indicated for late decelerations. It is important to prioritize actions that improve oxygenation in this scenario.
Question 4 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring the correct identification of the newborn is crucial for providing safe and effective care. Without proper identification, there is a risk of administering medications or treatments to the wrong newborn. Confirming the newborn's Apgar score can be important but is not as time-sensitive as verifying identification. Administering vitamin K and determining obstetrical risk factors are important tasks but should come after verifying the newborn's identification to ensure the safety of the care provided.
Question 5 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This is concerning as facial swelling can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. The nurse should report this finding immediately to the provider for further evaluation and management to prevent complications for both the mother and the baby. Varicose veins in the calves (
B), nonpitting 1+ ankle edema (
C), and hyperpigmentation of the cheeks (
D) are common findings in pregnancy and do not typically require immediate reporting unless they are severe or causing significant discomfort.