ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A, C
Rationale: The correct answers are A and C. A flaccid uterus and excess vaginal bleeding are indications for administering oxytocin postpartum. Oxytocin helps to prevent postpartum hemorrhage by inducing uterine contractions to promote uterine tone, reducing bleeding. If the uterus is flaccid, it may not contract effectively, leading to excessive bleeding. Excess vaginal bleeding is also a sign of inadequate uterine contraction.
Choices B, D, and E are incorrect. Cervical laceration and increased afterbirth cramping do not specifically indicate the need for oxytocin administration. Increased maternal temperature is not related to oxytocin administration but may indicate infection.
Question 2 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 helps create a comforting environment for the newborn by providing physical closeness and rhythmic movement, which can help soothe the baby. Placing the newborn in the crib in a prone position (choice
B) is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS). Offering a pacifier dipped in formula (choice
C) is not advised as it can lead to overfeeding and dental issues. Preparing a bottle of formula mixed with rice cereal (choice
D) is not appropriate for a newborn as they have specific feeding needs.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess fetal well-being in high-risk pregnancies, including conditions that may affect fetal oxygenation like oligohydramnios. Oligohydramnios refers to a decreased level of amniotic fluid, which can lead to fetal compromise and requires close monitoring. Hyperemesis gravidarum (
B) is severe nausea and vomiting in pregnancy, not directly related to fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 4 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: The correct answer is for choices A, B, C, and D. Abdominal pain is not specific to any of the listed conditions. Greenish discharge is consistent with both trichomoniasis and gonorrhea due to the characteristic color. Diabetes is not directly related to the listed conditions. Pain on urination is a common symptom of gonorrhea due to urethral inflammation. The absence of a condom is not a direct assessment finding but is important for preventive measures.
Extract:
Question 5 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Staff members who take care of your baby will be wearing a photo identification badge. This statement is important for promoting the security and safety of the newborn because it ensures that only authorized personnel are handling the baby. By requiring staff members to wear photo identification badges, the nurse can verify the identity of those caring for the newborn, reducing the risk of unauthorized individuals gaining access to the baby. This measure helps to maintain a secure environment and prevents potential security breaches.
Incorrect
Choices:
A: The nurse will carry your baby in their arms to the nursery for scheduled procedures - This choice does not address the security and safety of the newborn.
B: We will document the relationship of visitors in your medical record - While visitor documentation is important, it does not directly address the safety and security of the newborn.
C: It is okay for your baby to sleep in the bed with you while in the hospital - Co-sleeping is not recommended for newborn safety.