ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine respiratory function. The first priority in an unresponsive client is to assess their airway, breathing, and circulation (ABCs). Respiratory function is crucial for oxygenation and maintaining vital signs. If a client is unresponsive, assessing their respiratory status is essential to determine if they are breathing or in need of immediate intervention like CPR. Increasing IV fluid rate (
B) is not the priority as the client's respiratory status needs to be assessed first. Accessing emergency medications (
C) is not the immediate priority as the client's airway and breathing take precedence. Collecting a blood sample (
D) may be necessary later but is not the first action in an unresponsive client.
Question 2 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to protect the newborn's eyes from the bright light used during phototherapy, which can cause damage if exposure is prolonged. Closing the eyes with eyepatches helps prevent potential eye damage.
A: Providing glucose water is not relevant to the care of a newborn with jaundice undergoing phototherapy.
B: Turning the newborn every 4 hours is a general care practice but not specific to managing jaundice and phototherapy.
C: Applying hydrating lotion is not necessary for phototherapy and may interfere with the treatment process.
E, F, G: Not provided, as they are not relevant to the question at hand.
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: We need to know if you are positive for GBS at the time of delivery. At 37 weeks gestation, testing for GBS is important as the status can change. GBS colonization can come and go, so testing closer to delivery ensures the most accurate result to guide antibiotic prophylaxis during labor to prevent transmission to the newborn.
Choices A, B, and C are incorrect because they focus on past history or symptoms, which do not indicate the current GBS status. Testing closer to delivery is crucial to prevent neonatal GBS infection.
Question 5 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a potential sign of pregnancy-induced hypertension (pre-eclampsia), a serious complication that requires immediate medical attention to prevent harm to both the mother and the baby. Shortness of breath when climbing stairs (
A) can be a normal pregnancy symptom due to increased demand on the respiratory system. Swelling of feet and ankles (
B) is common in pregnancy but not necessarily indicative of a complication. Braxton Hicks contractions (
D) are normal, irregular contractions that do not signify labor.