ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring the correct identification of the newborn is crucial for providing safe and effective care. Incorrect identification can lead to errors in medication administration, treatment, and monitoring. Confirming the newborn's Apgar score (
A) is important for assessing the newborn's initial condition but is not the priority in this situation. Administering vitamin K (
C) is essential for newborns but can be done after verifying identification. Determining obstetrical risk factors (
D) is important for understanding the newborn's medical history but is not the immediate priority.
Extract:
A nurse is reviewing the provider's prescription in the adolescent's medical chart
Exhibit 1
History and Physical, Adolescent is sexually active with two current partners.
IUD in place, Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus
Question 2 of 5
Which of the following indicates whether the adolescent understands the teaching on requires further education?
| client statements | Indicates understanding | Requires further education | |
|---|---|---|---|
| I should continue taking all my medications even if I don't show any symptoms. | |||
| If I continue to get this type of infection, it can affect my ability to have kids in the future. | |||
| I should go to the emergency department if my urine turns dark. | |||
| As long as I keep my IUD, I don't need to use condoms. | |||
| I'm more likely to get a sunburn while taking these medications. |
Correct Answer: D
Rationale: [_,1,0,1,0,0,0]
The correct answer is . This statement indicates a misunderstanding as using an IUD does not protect against sexually transmitted infections (STIs). The client requires further education on the importance of using condoms to prevent STIs. The other options do not directly relate to sexual health education or contraception.
Extract:
Question 3 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping in early pregnancy could indicate ectopic pregnancy, miscarriage, or other serious complications. The nurse should see this client first to assess the severity of the cramping, check for any signs of bleeding, and determine if urgent intervention is needed to protect the client and the pregnancy.
Choices B, C, and D do not present immediate, potentially life-threatening concerns like the possibility of a miscarriage or ectopic pregnancy. Tingling and numbness in the hand (
B) may be related to carpal tunnel syndrome common in pregnancy, constipation (
C) can usually be managed with dietary changes, and occasional bloody noses (
D) are not uncommon in pregnancy.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
Exhibit 3
Nurses Notes
Day 2, 0900:
Newborn awake, alert, and crying. Loosely wrapped in one
blanket. Mild tremors noted. Yellow discoloration of mucus
membranes and sclera noted. Respirations 88/min, no
retractions, grunting, or nasal flaring noted. Diaper changed for
small amount of urine and transitional stool. Exhibit 4
Medical History
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy. Maternal use of marijuana during
pregnancy
Client who gave birth plans to breastfeed.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale: The correct answer is to place newborn skin to skin on birthing parent's chest and encourage breastfeeding to address potential condition of Cold stress. Parameters to monitor are temperature and bilirubin level. Skin-to-skin contact and breastfeeding help regulate newborn's temperature and decrease risk of hypothermia. Cold stress can lead to increased bilirubin levels, so monitoring temperature and bilirubin levels will help assess the baby's progress. Incorrect options: Option A focuses on phototherapy and neonatal abstinence system scoring, which are not indicated for cold stress. Option C includes stool output and lung sounds, which are not relevant for assessing cold stress.
Extract:
Question 5 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 indicator of pain in newborns as they are unable to verbally express discomfort. It is a physical sign of distress often observed during painful procedures like circumcision. Decreased heart rate (choice
A), pinpoint pupils (choice
C), and slowed respirations (choice
D) are not specific indicators of pain in newborns and can be influenced by various factors. In contrast, chin quivering is a more reliable and direct sign of pain in this context.