ATI RN
ATI Med Surg Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: B
Rationale: A sharp hand clap elicits the Moro reflex, causing the newborn to extend and then adduct their arms.
Question 2 of 5
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A firm, midline fundus with lochia rubra and small clots is normal; documenting and monitoring are appropriate.
Question 3 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: D
Rationale: Assessing for potential harm to the newborn or self is the priority to ensure safety in suspected postpartum depression.
Question 4 of 5
A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Baby powder poses inhalation risks and is not recommended for infants, indicating a need for further education.
Question 5 of 5
A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)
Correct Answer: B,D
Rationale: Vitamin K prevents bleeding disorders, and antibiotic ointment prevents neonatal conjunctivitis, both standard newborn care.