ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale:
To perform Leopold maneuvers on a client at 36 weeks gestation, the nurse should follow these steps:
A) Instruct the client to empty their bladder to provide better visualization and palpation of the uterus.
B) Position the client supine with knees flexed and place a small, rolled towel under one of their hips to enhance comfort and relaxation.
C) Palpate the fetal part positioned in the fundus to determine the presentation and position of the baby.
D) Palpate the fetal parts along both sides of the uterus to assess for consistency and location. These steps ensure accurate assessment of fetal position and presentation.
Choices E, F, and G are not applicable in the Leopold maneuvers sequence and do not contribute to the accurate assessment of the fetus.
Question 3 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Chin quivering is a common sign of pain in newborns. It indicates discomfort and distress. Decreased heart rate (
A), pinpoint pupils (
C), and slowed respirations (
D) are not reliable indicators of pain in newborns. Heart rate may decrease as a response to pain, but it can also be affected by other factors. Pinpoint pupils are more indicative of drug use or neurological issues. Slowed respirations may be a sign of relaxation, not necessarily pain. Chin quivering, on the other hand, is a direct physical manifestation of pain and should be recognized by the nurse as a sign to address the newborn's discomfort.
Question 4 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the procedure. For the other options: A is incorrect because room temperature is not specified for this medication. B is incorrect as positioning doesn't affect the administration. C is incorrect as avoiding urinary elimination is not necessary. In summary, verifying informed consent is crucial for patient autonomy and safety, making it the correct action in this scenario.
Question 5 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This is because excessive vaginal bleeding postpartum could indicate uterine atony, where the uterus fails to contract effectively, leading to hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. Administering oxytocin (choice
B) can also help with uterine contractions, but massaging the fundus is the initial intervention. Emptying the client's bladder (choice
C) can alleviate pressure on the uterus but is not the priority in this situation. Providing oxygen (choice
D) is not directly related to managing postpartum bleeding.