ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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 for newborn care as it helps prevent skin irritation and infection. Washing with plain water is gentle and safe for the baby's delicate skin. Other choices are incorrect: A is incorrect because bathing immediately after a feeding can lead to discomfort and potential regurgitation. B is incorrect as bumper pads pose a suffocation hazard for infants. C is incorrect as a soft mattress increases the risk of sudden infant death syndrome.
Question 2 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule adds 7 days to the first day of the last menstrual period (August 10), then subtracts 3 months and adds 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is incorrect because it doesn't account for adding the additional 7 days.
Choice C (May 3) is incorrect because it miscalculates the subtraction of 3 months.
Choice D (May 20) is incorrect as it adds the 7 days but doesn't subtract 3 months.
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 providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup among the given options. One cup of cooked lentils contains about 15.6 grams of fiber, making it an excellent choice for increasing dietary fiber intake. Fiber helps prevent and alleviate constipation by promoting regular bowel movements. Oatmeal, cabbage, and asparagus also contain fiber, but in lower amounts compared to lentils. Oatmeal typically has around 4 grams of fiber per cup, while cabbage and asparagus have even lower fiber content.
Therefore, lentils are the best choice for the antepartum client aiming to increase fiber intake for constipation relief.
Question 5 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.