ATI RN
RN ATI Maternal Proctored Exam 2023-2024 with NGN 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 helps protect a newborn's airway and prevents slumping, ensuring optimal safety during travel. This position aligns the baby's head with the neck and spine, reducing the risk of suffocation and injury in the event of sudden stops or accidents. A 45-degree angle also supports proper breathing and oxygenation for the newborn.
Therefore, this statement indicates the parent understands the importance of correctly positioning the car seat for their baby's safety.
Summary of Incorrect
Choices:
A: Incorrect - Using a sleep sack in the car seat can lead to overheating and compromise the baby's safety by interfering with the car seat's harness system.
B: Incorrect - A car seat challenge test is typically done for premature infants, not a newborn delivered at 38 weeks of gestation.
D: Incorrect - Turning a baby's car seat forward-facing
Question 2 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This instruction is important because it helps prevent irritation or infection on the baby's delicate skin. Washing the baby's face with plain water is gentle and safe for newborns.
A: Bathing the baby immediately after a feeding is not recommended as it may lead to discomfort or spitting up.
B: Placing a bumper pad in the baby's crib can pose a suffocation hazard for the newborn.
C: Putting a soft mattress in the baby's crib increases the risk of sudden infant death syndrome (SIDS) as it may cause suffocation.
Overall, washing the baby's face with plain water is the safest and most appropriate instruction for home safety with a 2-day postpartum client.
Question 3 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because delaying the instillation of antibiotic ophthalmic ointment can facilitate bonding between the newborn and parent, promoting skin-to-skin contact and eye contact essential for bonding. This crucial time immediately following birth sets the foundation for a strong parent-child relationship.
Summary:
A: Incorrect. Delaying antibiotic ointment instillation does not help in identifying infection manifestations.
B: Incorrect. The newborn's weight is not a factor in delaying the instillation of ointment.
C: Incorrect. The mode of delivery does not impact the timing of antibiotic ointment application.
D: Correct. Delaying ointment instillation facilitates bonding between the newborn and parent.
E, F, G: N/A
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: Notify the provider if the end of your baby’s penis appears dark red. This is important to monitor for signs of infection, such as redness, swelling, or discharge. Yellow exudate forming in 24 hours (
C) is incorrect as it may indicate infection. The Plastibell is typically removed after a few days, not 4 hours (
A). Ensuring a snug diaper (
B) is irrelevant to the circumcision technique.
Question 5 of 5
A nurse is administering a hepatitis B vaccine to a newborn. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer the injection into the vastus lateralis muscle. For newborns, the vastus lateralis muscle is the preferred site for intramuscular injections due to its size and well-developed muscle mass, ensuring proper absorption and minimizing the risk of injury to surrounding structures. Administering the vaccine into this muscle also helps improve vaccine efficacy.
Choices B, C, and D are incorrect.
Choice B, vigorously massaging the site, can cause discomfort, bruising, and potential tissue damage.
Choice C, inserting the needle at a 45° angle, is not recommended for intramuscular injections as the needle should be inserted at a 90° angle to ensure proper delivery into the muscle.
Choice D, using a 21-gauge needle, is not specific for newborns and can be too large for their small muscle mass, causing unnecessary pain and potential tissue damage.