ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A: Lays the newborn across their lap and gently sways. This is a positive parenting behavior because it promotes bonding through physical touch and movement, mimicking the comfort of being held. It also helps soothe the baby by providing a rhythmic motion.
Choice B is incorrect as placing the newborn in a crib in a prone position is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
Choice C is incorrect as offering a pacifier dipped in formula can lead to overfeeding and potential dental issues.
Choice D is incorrect as feeding a newborn formula mixed with rice cereal is not appropriate as rice cereal is not recommended for infants under 4-6 months old and can be a choking hazard.
Question 2 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Active phase of labor. At 9 cm dilation, the client is transitioning from the latent phase to the active phase. In the active phase, the cervix typically dilates from 6 to 10 cm. The client's contractions are close together and long-lasting, indicating active labor. Rectal pressure is common during the active phase as the baby descends further. The passive descent (
A) phase occurs later in labor when the cervix is fully dilated, and the client is ready to push. Early phase (
C) is characterized by slow cervical dilation from 0 to 6 cm. Descent (
D) phase is not a recognized phase of labor.
Question 3 of 5
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
Correct Answer: A
Rationale: The correct site for an IM injection in a newborn is the vastus lateralis muscle. This site is recommended for infants due to the larger muscle mass, reduced risk of injury to nerves and blood vessels, and better absorption of the medication. The vastus lateralis is located on the lateral aspect of the thigh and is easily accessible for injections. In contrast, the dorsogluteal site is not recommended in infants due to the proximity of the sciatic nerve and the risk of injury. The deltoid muscle is typically used for older children and adults, not newborns. The rectus femoris muscle is not a commonly used site for IM injections in newborns. Selecting the vastus lateralis ensures safe and effective administration of the medication.
Question 4 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn 12 hours after birth can indicate hyperbilirubinemia, which may require medical intervention to prevent complications such as kernicterus. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is a temporary misalignment of the eyes. Caput succedaneum (
D) is localized swelling on a newborn's head from pressure during birth and resolves on its own.
Question 5 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Postpartum endometritis is an infection of the uterine lining, causing inflammation and tenderness. This is a common complication seen in women after childbirth. The other options are incorrect because: A: A slightly elevated temperature of 37.4°C is not specific to endometritis. B: WBC count of 9,000/mm3 is within the normal range and may not indicate infection. D: Scant lochia refers to minimal vaginal discharge, which is not a typical finding in endometritis.