ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: Removing all clothing except the diaper ensures maximum skin exposure to the phototherapy lights, which is essential for effective treatment of hyperbilirubinemia.
Question 2 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome occurs in newborns exposed to addictive substances in utero. Excessive crying is a common symptom due to withdrawal. Diminished deep tendon reflexes (
A) are not typically associated. Decreased muscle tone (
C) is also not a common finding in neonatal abstinence syndrome. Absent Moro reflex (
D) is not a characteristic symptom.
Therefore, excessive crying is the most expected finding in a newborn with neonatal abstinence syndrome.
Question 3 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. This is the recommended site for administering vaccines to newborns due to its large muscle mass, which allows for optimal absorption and minimizes the risk of injury to surrounding structures. It is also the preferred site to prevent damage to the sciatic nerve and femoral artery. Options B, C, and D are incorrect because massaging the site vigorously can cause discomfort, inserting the needle at a 45° angle may not reach the muscle in newborns, and using a 21-gauge needle may not be appropriate for newborns.
Question 4 of 5
A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Decreasing lighting levels helps reduce overstimulation, which can exacerbate symptoms of neonatal abstinence syndrome.
Question 5 of 5
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal positioning of the placenta over the cervix.