ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D. In a nonstress test, the client is instructed to press a button each time fetal movement is detected. This action helps to correlate fetal movement with fetal heart rate patterns, providing valuable information on fetal well-being. Maintaining NPO status (
A) is not necessary for this test. Placing the client in a supine position (
B) can compress the vena cava and decrease blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting the test results.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. Breastfeeding newborns frequently helps establish milk supply, prevents engorgement, and ensures the baby gets enough nutrients.
Choice A is too limited and may not provide adequate feeding.
Choice B is incorrect as newborns should only be given breast milk or formula, no water.
Choice C is too vague and might not indicate adequate feeding.
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. This finding may indicate a chromosomal abnormality like Down Syndrome. The nurse should report this to the provider for further evaluation and genetic testing. Single palmar creases are not typically seen in healthy newborns.
Choices B, C, D, and E are normal findings in newborns. Down Syndrome is associated with multiple physical and developmental characteristics, not just single palmar creases. Rust-stained urine may be from uric acid crystals, which is common in newborns. Transient circumoral cyanosis and subconjunctival hemorrhage can occur due to normal physiological processes during birth and usually resolve on their own without intervention.
Question 4 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Question 5 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn indicate respiratory distress, which is a serious concern that requires immediate attention from the provider. The other choices are normal findings in a newborn. Acrocyanosis is common and resolves on its own. Overlapping suture lines are expected due to the molding of the infant's head during birth. A head circumference of 33 cm (13 in) falls within the normal range for a newborn. Reporting substernal retractions promptly ensures timely intervention to address potential respiratory issues.