ATI RN
ATI Maternal NewBorn Proctored Exam 2023 with NGN All 70 Questions With Answers Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion?
Correct Answer: A
Rationale: The correct answer is A because contractions every 5 minutes that last 30 seconds indicate increased frequency and duration, which may not be sufficient for effective labor progress. Increasing the rate of oxytocin can help strengthen contractions for more efficient labor.
Choices B, C, and D do not indicate the need to increase the rate of infusion. Montevideo units measure the strength of contractions, urine output reflects renal perfusion, and absent variability in fetal heart rate suggests fetal distress, not the need for increased oxytocin.
Question 2 of 5
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin?
Correct Answer: C
Rationale: The correct answer is C: Shoulder presentation. This condition is a contraindication to the use of oxytocin because it can lead to complications such as umbilical cord prolapse, which can be dangerous for both the mother and the baby. Oxytocin can increase the strength and frequency of contractions, potentially worsening the situation.
Choice A: Post-term with oligohydramnios is not a contraindication to the use of oxytocin. It may actually be a reason to consider augmentation of labor.
Choice B: Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, and while it may require treatment, it is not a contraindication to the use of oxytocin.
Choice D: Diabetes mellitus is not a contraindication to the use of oxytocin unless there are specific complications related to diabetes that would make its use risky.
In summary, the correct answer, shoulder presentation,
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
Correct Answer: C
Rationale:
Rationale: The correct answer is C because newborn genetic screening should be performed after the baby is 24 hours old to ensure accurate results. Testing too early may lead to false negatives.
Choice A is incorrect because the test is typically done once soon after birth.
Choice B is incorrect as blood is usually drawn from the baby's heel, not inner elbow.
Choice D is incorrect as newborns should not be given water before the test due to risk of aspiration.
Question 4 of 5
A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Apply warm compresses on the breasts before feedings. Warm compresses help to promote milk flow and relieve engorgement by increasing blood flow to the area. This can make it easier for the baby to latch and feed effectively. It is important to address engorgement promptly to prevent complications such as blocked ducts or mastitis.
Option B is incorrect because allowing the infant to nurse on one breast per feeding may not fully empty the breasts, leading to further engorgement. Option C is incorrect because aspirin is not recommended during breastfeeding due to potential risks to the infant. Option D is incorrect because wearing a tight-fitting underwire bra can constrict the breasts and worsen engorgement.
Question 5 of 5
A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Decrease the lighting levels in the nursery. Neonatal abstinence syndrome causes sensitivity to stimuli, including light. By decreasing lighting levels, the nurse can help reduce overstimulation and promote a calm environment for the newborn. This can aid in soothing the baby and decreasing symptoms associated with the syndrome.
Choice B is incorrect because wrapping the newborn loosely in a blanket may not directly address the sensitivity to light and other stimuli.
Choice C, providing frequent stimulation, would likely exacerbate the symptoms of neonatal abstinence syndrome due to the increased sensory input.
Choice D, encouraging frequent eye contact during feedings, could also lead to overstimulation for the newborn.