ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. This is a critical time for parent-infant bonding and should not be interrupted by unnecessary procedures.
Choice A is incorrect because delaying the ointment does not impact the identification of infection; newborns are routinely monitored for signs of infection regardless.
Choice B is incorrect as the weight of the newborn is not a factor in delaying the ointment.
Choice C is irrelevant as the mode of delivery does not affect the timing of ointment instillation.
Question 2 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates understanding because it aligns with the recommendation for newborns to be positioned at a 45-degree angle in a rear-facing car seat to prevent head flop and ensure proper breathing. This angle helps maintain an open airway and reduces the risk of suffocation. Incorrect answers: A suggests using a sleep sack, which may interfere with the harness straps and compromise safety. B is incorrect as a car seat challenge test is typically done for premature infants, not full-term newborns. D is incorrect as the recommendation is to keep infants in a rear-facing position until they reach the height or weight limit specified by the car seat manufacturer, typically beyond the age of 1.
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection, as the leaking cerebrospinal fluid exposes the newborn to a high risk of meningitis. Antibiotics help to prevent and treat potential bacterial infections. Monitoring rectal temperature (
B) does not address the immediate risk of infection. Cleansing the site with povidone-iodine (
C) is important but not as urgent as starting antibiotics. Surgical closure (
D) should be done promptly but not necessarily after 72 hours; infection prevention is the priority.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D.
A) Labor induction with oxytocin can lead to uterine hyperstimulation, increasing the risk of postpartum hemorrhage.
C) Vacuum-assisted delivery can cause trauma to the birth canal, leading to excessive bleeding.
D) A history of uterine atony indicates a weak uterine muscle tone, which is a significant risk factor for postpartum hemorrhage.
B) Newborn weight and E) history of human papillomavirus are not directly related to postpartum hemorrhage.
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Postpartum endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is characteristic of endometritis and requires immediate attention.
A: Temperature of 37.4°C is within normal range.
B: WBC count of 9,000/mm3 is within normal limits and may not indicate infection.
D: Scant lochia does not specifically indicate endometritis.
Therefore, the presence of uterine tenderness is the most significant finding in this scenario.