ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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:
Correct Answer: C - The car seat should be positioned in the car at a 45-degree angle.
Rationale: Placing the car seat at a 45-degree angle is crucial for newborns and premature babies as it helps prevent their head from falling forward, ensuring proper breathing and airway protection. This angle also supports the baby's developing spine and neck muscles. It is a key safety measure recommended for all infants, particularly those born prematurely, to reduce the risk of oxygen desaturation and apnea episodes during travel.
Other
Choices:
A: Using a sleep sack in the car seat may cause overheating and compromise the baby's safety.
B: A car seat challenge test is typically done for preterm infants, not babies born at 38 weeks.
D: Turning a baby's car seat forward-facing at 1 year old is not recommended as rear-facing is safer until at least 2 years old.
Question 2 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn 12 hours after birth can indicate hyperbilirubinemia, which may require medical intervention to prevent complications such as kernicterus. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is a temporary misalignment of the eyes. Caput succedaneum (
D) is localized swelling on a newborn's head from pressure during birth and resolves on its own.
Question 3 of 5
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Have calcium gluconate readily available. Magnesium sulfate can cause hypotension, respiratory depression, and cardiac arrest if given in excess. Calcium gluconate is the antidote for magnesium sulfate toxicity, as it helps reverse the effects of magnesium sulfate on the neuromuscular and cardiac systems. Having calcium gluconate readily available ensures prompt treatment in case of magnesium sulfate toxicity.
Incorrect choices:
A: Restrict hourly fluid intake to 150 mL/hr - Fluid restriction is not necessary for magnesium sulfate administration in preeclampsia.
C: Assess deep tendon reflexes every 6 hr - Although assessing reflexes is important when administering magnesium sulfate, the frequency should be more frequent than every 6 hours.
D: Monitor intake and output every 4 hr - While monitoring intake and output is important, it is not the most crucial action to take when administering magnesium sulfate in preeclampsia.
Question 4 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This is because excessive vaginal bleeding postpartum could indicate uterine atony, where the uterus fails to contract effectively, leading to hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. Administering oxytocin (choice
B) can also help with uterine contractions, but massaging the fundus is the initial intervention. Emptying the client's bladder (choice
C) can alleviate pressure on the uterus but is not the priority in this situation. Providing oxygen (choice
D) is not directly related to managing postpartum bleeding.
Question 5 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This is concerning as facial swelling can be a sign of preeclampsia, a serious condition in pregnancy characterized by high blood pressure and protein in the urine. The nurse should report this finding immediately to the provider for further evaluation and management to prevent complications for both the mother and the baby. Varicose veins in the calves (
B), nonpitting 1+ ankle edema (
C), and hyperpigmentation of the cheeks (
D) are common findings in pregnancy and do not typically require immediate reporting unless they are severe or causing significant discomfort.