ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Neonatal withdrawal from SSRIs can present with symptoms such as jitteriness, irritability, poor feeding, and gastrointestinal symptoms like vomiting. This is due to the sudden cessation of the drug after birth, leading to withdrawal symptoms. The other choices are incorrect because large for gestational age (
A) is not typically associated with SSRI withdrawal; hyperglycemia (
B) is not a common withdrawal symptom; bradypnea (
C) is not a typical manifestation of SSRI withdrawal.
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:
Exhibit1 Graphic Record: Blood pressure 130/78 mm Hg Respiratory rate 20/min Heart rate 90/min
Exhibit2:Diagnostic Results Hemoglobin 12 g/dL (11 to 16 g/dL) Hematocrit 34% (33% (0 47%) 1-hr glucose tolerance test 120 mg/dL (less than 180-190 mg/dL)
Exhibit3 Progress Notes FundalFundal height 30 cm Good fetal movement Not experiencing headache, dizziness, blurred vision, or vaginal bleedingFetal heart rate 110/min
Question 3 of 5
A nurse in an antepartum clinic is providing weeks of gestation. Upon reviewing the following findings should the nurse report to the provider? (Click on the 'Exhibit' button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: D
Rationale: The correct answer is D: Fetal heart rate (FHR). The nurse should report any abnormal fetal heart rate findings to the provider as it could indicate fetal distress or other complications. Monitoring FHR is crucial for assessing fetal well-being.
A: 1-hr glucose tolerance test is not relevant to the assessment of fetal well-being in this scenario.
B: Hematocrit is important for assessing the mother's blood volume but does not directly relate to fetal well-being.
C: Fundal height measurement helps estimate fetal growth but would not necessarily indicate an immediate concern that needs to be reported to the provider.
In summary, monitoring the FHR is essential for assessing fetal well-being and any abnormalities should be promptly reported for further evaluation and management.
Extract:
Question 4 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Neonatal withdrawal from SSRIs can present with symptoms such as jitteriness, irritability, poor feeding, and gastrointestinal symptoms like vomiting. This is due to the sudden cessation of the drug after birth, leading to withdrawal symptoms. The other choices are incorrect because large for gestational age (
A) is not typically associated with SSRI withdrawal; hyperglycemia (
B) is not a common withdrawal symptom; bradypnea (
C) is not a typical manifestation of SSRI withdrawal.
Question 5 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 within the first 24 hours can be a sign of pathologic hyperbilirubinemia, which can be harmful. The nurse should report this to the provider promptly for further evaluation and management. Acrocyanosis (
A) is a common finding in newborns due to immature circulation and is not concerning. Transient strabismus (
B) is a common finding that typically resolves on its own and does not require immediate intervention. Caput succedaneum (
D) is swelling on the scalp that usually resolves without treatment.