ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This is correct because having a full bladder can make it difficult for the healthcare provider to perform the amniocentesis. Emptying the bladder helps provide better access to the uterus for the procedure.
Choice B is incorrect as the client is usually lying on their back during the procedure.
Choice C is incorrect as the client is typically awake during an amniocentesis.
Choice D is incorrect as fasting is not required for this procedure.
Question 2 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Nuchal cord occurs when the umbilical cord is wrapped around the baby's neck during delivery. This can cause pressure on the baby's face, leading to small red or purple spots called petechiae. The rationale is that the pressure from the nuchal cord can result in capillary rupture, manifesting as petechiae on the baby's face. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are unrelated to nuchal cord and would not be expected findings in this scenario.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago.
Exhibit 1 - Nurses' Notes: 0700
Breasts soft, nipples intact. Uterus palpated firm, midline, and at the level of the umbilicus.
Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and
ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously; no bladder
distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities.
Exhibit 2 - Nurses' Notes: 1100
Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the
umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema
and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+.
Peripheral edema 2+ in bilateral lower extremities.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C because they indicate potential health concerns that require immediate follow-up. A, lateral deviation of the uterus, could indicate a possible uterine abnormality or displacement. B, deep tendon reflexes 1+, may suggest neurological issues or abnormalities. C, pain rating of 3 on a scale of 0 to 10 (increased), signifies escalating pain levels that need to be addressed promptly.
Choices D, E, F, and G do not require immediate follow-up as they are within normal ranges or not indicative of urgent issues.
Extract:
Question 4 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates understanding because it aligns with the recommendation for newborns to be positioned at a 45-degree angle in a rear-facing car seat to prevent head flop and ensure proper breathing. This angle helps maintain an open airway and reduces the risk of suffocation. Incorrect answers: A suggests using a sleep sack, which may interfere with the harness straps and compromise safety. B is incorrect as a car seat challenge test is typically done for premature infants, not full-term newborns. D is incorrect as the recommendation is to keep infants in a rear-facing position until they reach the height or weight limit specified by the car seat manufacturer, typically beyond the age of 1.
Question 5 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.