ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Extract:
Question 1 of 5
A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: newborn who has nasal flaring. Nasal flaring indicates respiratory distress, which is a critical condition requiring immediate attention to ensure adequate oxygenation. Nasal flaring suggests that the newborn is having difficulty breathing and may lead to hypoxia if not addressed promptly. Assessing and addressing respiratory distress is a priority in newborn care to prevent further complications.
Choices B, C, and D do not pose immediate life-threatening concerns. Subconjunctival hemorrhage and overlapping suture lines are common in newborns and typically resolve on their own. Rust-stained urine may indicate hematuria, which should be monitored but does not require immediate attention compared to respiratory distress.
Question 2 of 5
A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply a cap to the newborn head. The newborn's respiratory rate, heart rate, and temperature are within normal range for a 1-hour-old infant. However, the temperature is slightly low. Applying a cap to the newborn's head can help prevent heat loss and maintain a stable body temperature. Giving a warm bath (
A) can cause further heat loss. Repositioning the newborn (
C) is not necessary based on the information provided. Obtaining an oxygen saturation level (
D) is not indicated as the vital signs are within normal limits.
Question 3 of 5
A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?
Correct Answer: D
Rationale:
Rationale: Donning gloves for performing umbilical cord care is crucial to prevent infection transmission. The umbilical cord stump is a potential entry point for pathogens, so gloves provide a barrier. Assisting with breastfeeding (
A) does not require gloves unless there are open wounds on the mother's breast. Performing a newborn's bath (
B) does not involve contact with bodily fluids that necessitate glove use. Administering a vaccine (
C) requires clean technique, not necessarily gloves. Summary:
Choices A, B, and C do not involve direct exposure to bodily fluids or potential infection sources, so gloves are not necessary.
Choice D involves direct contact with a potential infection source, making gloves essential.
Question 4 of 5
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Swaddle the newborn in a flexed position. This is important for newborns with neonatal abstinence syndrome to provide comfort and security, mimicking the womb environment. Swaddling helps reduce excessive movement and agitation, promoting better sleep and soothing the newborn. Option A is incorrect as increased visual stimulation can overwhelm the newborn. Option B is incorrect as daily weighing is recommended to monitor for weight fluctuations. Option C is incorrect as parental interaction is crucial for bonding and emotional development.
Question 5 of 5
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (SATA).
Correct Answer: A
Rationale: The correct answer is A because amnionitis, leakage of amniotic fluid, and preterm labor are potential complications following an amniocentesis. Amnionitis is an infection of the amniotic fluid, leakage of amniotic fluid can lead to premature rupture of membranes, and preterm labor can be triggered by the procedure. Hypertension , hyperglycemia , and maternal hypotension are not typically associated with amniocentesis.
Therefore, choices B, C, and D are incorrect as they do not align with the expected complications of this procedure.