ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. Neonatal abstinence syndrome can result in central nervous system hyperirritability, increasing the risk of seizures.
Therefore, initiating seizure precautions, such as padding the crib and ensuring a quiet environment, is crucial. Monitoring blood glucose hourly (
A) is not typically necessary for neonatal abstinence syndrome. Placing the infant on his back with legs extended (
B) is a safe sleep practice but not directly related to managing neonatal abstinence syndrome. Providing a stimulating environment (
D) is contraindicated as it can exacerbate symptoms.
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 assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases (p200Down Syndrome). This finding is significant because it is associated with Down Syndrome. The nurse should report this to the provider for further evaluation and potential genetic testing. Single palmar creases are a physical characteristic that can indicate the presence of genetic abnormalities. The other choices are common findings in newborns that do not necessarily require immediate reporting. Rust-stained urine may be due to urate crystals, transient circumoral cyanosis can be a normal response to cold or crying, and subconjunctival hemorrhage is often benign and resolves on its own.
Therefore, the nurse should prioritize reporting the single palmar creases to the provider for further assessment.
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.
Question 5 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal compromise. By covering the cord with a sterile saline-saturated towel, the nurse can maintain a moist environment and protect the cord from injury. Performing a vaginal examination (
Choice
A) can further push the cord and worsen the situation. Administering oxygen (
Choice
C) may be necessary later, but covering the cord is the priority. Initiating IV fluids (
Choice
D) is not the immediate priority in this emergency situation.