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: The correct answer is C: Remove all clothing from the newborn except the diaper. This is crucial during phototherapy for hyperbilirubinemia because it helps maximize skin exposure to the therapeutic light. By removing clothing, the skin can absorb the light more effectively, aiding in the breakdown of bilirubin.
Choice A is incorrect as water should not be given in place of feeding, as the newborn needs adequate nutrition.
Choice B is incorrect as applying lotion may interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and should not warrant discontinuation of treatment.
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 2 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:
Extract:
Question 3 of 5
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
Correct Answer: C
Rationale: Newborn genetic screening should be performed after the baby is 24 hours old to ensure accurate results. Blood is typically drawn from the heel, not the inner elbow, and no water is given prior to the test.
Question 4 of 5
What is the function of the placenta during pregnancy?
Correct Answer: D
Rationale: The placenta protects the fetus, removes waste, and facilitates nutrient and gas exchange.
Question 5 of 5
Which of the following is a potential complication of neonatal hypoglycemia?
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.