ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. A suppository should not be used in a client with a third-degree perineal laceration as it can cause further irritation and delay healing. The suppository insertion could disrupt the healing tissues and increase the risk of infection.
Incorrect choices:
A: Vaginal candidiasis - This does not contraindicate the use of a suppository.
B: Abdominal distention - Unrelated to contraindicating the use of a suppository.
C: Afterpains - Not a contraindication to suppository use.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45 gm/dL)
Complete the diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client’s progress.
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale:
1. The potential condition the client is most likely experiencing is Acute bilirubin encephalopathy .
2. The nurse should take the actions of placing the newborn skin to skin on the birthing parent's chest and encouraging breastfeeding to address this condition.
3. Parameters to monitor include monitoring temperature (to assess for hypothermia related to cold stress) and monitoring the bilirubin level (to assess for bilirubin encephalopathy progression).
Summary:
-
Choice A is incorrect as obtaining a prescription for arterial blood gases and planning phototherapy are not directly related to the potential condition.
-
Choice C is incorrect as monitoring stool output, lung sounds, and blood glucose level are not specific to the potential condition identified.
- It's essential to focus on actions and parameters directly related to the identified potential condition for effective client care.
Extract:
Question 3 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 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 caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication used to help control postpartum hemorrhage by promoting uterine contractions which can help stop the bleeding due to uterine atony. It is important to address the underlying cause of the bleeding to prevent further complications.
Choice A: Administering betamethasone IM is not appropriate in this situation as it is a corticosteroid used to promote fetal lung development in preterm labor, not for controlling postpartum hemorrhage.
Choice B: Avoiding performing sterile vaginal examinations is not helpful in managing postpartum hemorrhage. Vaginal examinations may be necessary to assess the degree of bleeding and uterine tone.
Choice D: Obtaining a specimen for a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage in cases of Rh incompatibility, not for immediate management of postpart