ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: D
Rationale: The correct answer is D: Vomiting. Neonatal withdrawal from SSRIs can present with symptoms such as jitteriness, irritability, poor feeding, and gastrointestinal symptoms like vomiting. This is due to the sudden cessation of the drug after birth, leading to withdrawal symptoms. The other choices are incorrect because large for gestational age (
A) is not typically associated with SSRI withdrawal; hyperglycemia (
B) is not a common withdrawal symptom; bradypnea (
C) is not a typical manifestation of SSRI withdrawal.
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.
Question 4 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Amniotomy involves breaking the amniotic sac, increasing the risk of infection. Monitoring the client's temperature is crucial to detect early signs of infection, such as fever. Maintaining a normal temperature is essential to prevent maternal and fetal complications. O2 saturation, blood pressure, and urinary output are important assessments but do not take priority over monitoring the client's temperature post-amniotomy.
Question 5 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Before applying an external transducer for fetal monitoring, the nurse should perform Leopold maneuvers to determine the fetal position, presentation, and lie. This helps in proper placement of the transducer and accurate monitoring of the fetal heart rate.
Choices A, C, and D are incorrect because they are not necessary steps prior to applying the external transducer. Determining the progression of dilatation and effacement (
Choice
A) is related to cervical assessment, which is not directly relevant to applying the transducer. Completing a sterile speculum exam (
Choice
C) and preparing a Nitrazine paper test (
Choice
D) are not required procedures for setting up fetal monitoring.