ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vitamin B12 is primarily found in animal products, which are excluded in a vegan diet. Fortified soy milk is a plant-based alternative that is fortified with vitamin B12, making it a suitable option for vegans to increase their intake of this essential nutrient. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12 and are not effective sources for someone following a vegan diet.
Therefore, recommending fortified soy milk is the most appropriate choice to address the client's need to increase their vitamin B12 intake.
Question 2 of 5
A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels as hypoglycemia can cause jitteriness and is a potentially life-threatening condition in neonates. Low blood glucose can lead to neurologic issues, seizures, and long-term developmental delays.
Total bilirubin (
B) is related to jaundice, not jitteriness. Hemoglobin (
C) and blood calcium (
D) are not directly related to jitteriness in a newborn.
Therefore, the nurse should prioritize checking the blood glucose level to address the immediate concern of jitteriness in the 12-hour-old newborn.
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection in the exposed neural tissue. Myelomeningocele increases the risk of meningitis due to the breach in the protective layers of the spinal cord. Administering antibiotics helps to prevent bacterial invasion and subsequent infection. Monitoring rectal temperature is not directly related to the myelomeningocele issue. Cleaning the site with povidone-iodine may cause further irritation to the exposed tissue. Immediate surgical closure is usually necessary to prevent infection; waiting 72 hours is not appropriate in this case.
Question 4 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.
Question 5 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Cytomegalovirus (CMV) can be transmitted through bodily fluids such as saliva, urine, blood, and breast milk. This is important information for nurses to be aware of as they care for newborns who may be infected.
Explanation for other choices:
A: Mothers do not receive prophylactic treatment with acyclovir for CMV, as there is no specific antiviral treatment for this virus.
C: Lesions on the mother's genitalia are not a typical feature of CMV infection.
D: Airborne precautions are not required for CMV as it is primarily transmitted through bodily fluids, not through the air.