ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is crucial for positive identification, preventing mix-ups, and maintaining the newborn's safety. By matching the identification band numbers, the nurse confirms the correct parent and newborn pair, reducing the risk of errors or misidentification.
Summary of Other
Choices:
B: Asking the parent to verify their name and date of birth is important but may not be as reliable as matching identification band numbers.
C: Checking the newborn's security tag number is relevant for security purposes but does not directly confirm the parent-newborn match.
D: Matching the newborn's date and time of birth to the parent's medical record is not as effective as matching identification band numbers for ensuring correct parent-newborn pairing.
Question 2 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This is a concerning symptom that could indicate a serious complication like preeclampsia. It is crucial to report this to the provider promptly to prevent potential harm to both the mother and the baby. Shortness of breath when climbing stairs (
A) can be a normal pregnancy symptom due to increased demand on the body, swelling of feet and ankles (
B) is common in pregnancy but not typically a sign of immediate concern, Braxton Hicks contractions (
D) are normal and can occur throughout pregnancy. By prioritizing the headache that is unrelieved by analgesia, the nurse is focusing on a symptom that requires urgent attention.
Extract:
Exhibit1 Medical History Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (71b 12 0z) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use during
pregnancy.
Exhibit2 vital signs 0700: Heart rate 156/min Respiratory rate 58/min Temperature 37.2° C (98.9° F) Oxygen saturation 98% on room air .1100: Heart rate 160/min Respiratory rate 60/min Temperature 37.3° C (99.2° F) Oxygen saturation 96%
on room air
Exhibit3 Physical Examination 1100: Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorouslyon pacifier but breastfeeds poorly. Respirations unlabored. Lungs sound clear on auscultation. Increased muscle tone with moderate to severe tremors when disturbed. Hyperactive Moro reflex noted. Several loose stools today.Exhibit4 (image)
Apgars: 7 at 1 min and 8 at 5 min of age Birth weight: 3,515 (7 1b 12 02) Maternal blood type: O+ Uncomplicated pregnancy. Maternal use of marijuana during pregnancy Client who gave birth plans to breastfeed
Question 3 of 5
A nurse is caring for a newborn who is 70 hr old. Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, D, E
Rationale: The correct answer is A, D, and E. The nurse should report respiratory, central nervous system, and gastrointestinal findings to the provider in a newborn at 70 hours old. Respiratory findings could indicate potential respiratory distress, CNS findings could signal neurological issues, and gastrointestinal findings could suggest feeding or digestion problems. Reporting these findings promptly allows the provider to assess and intervene if necessary, ensuring the newborn's well-being.
Choices B and C are typically monitored but are not the top priority in this scenario.
Extract:
Question 4 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test as it helps monitor fetal heart rate in response to movement, indicating a healthy fetal status. Pressing the button when fetal movement is felt ensures accurate data collection. Maintaining NPO status (
A) is not required for a nonstress test. Placing the client in a supine position (
B) can reduce blood flow to the fetus and is contraindicated. Instructing the client to massage the abdomen (
C) may interfere with the natural fetal movement patterns and affect test results.
Question 5 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: The correct answer is C: Biophysical profile (BPP). At 41 weeks gestation, a positive contraction stress test indicates potential fetal distress. A BPP evaluates fetal well-being through assessing fetal heart rate, fetal movement, fetal breathing, fetal tone, and the amniotic fluid volume. This test helps determine if immediate delivery is necessary.
Incorrect choices:
A: Percutaneous umbilical blood sampling is used to assess fetal blood gases and acid-base status, not specifically for fetal distress assessment.
B: Amnioinfusion is used to replace amniotic fluid during labor, not for evaluating fetal well-being in this context.
D: Chorionic villus sampling is a prenatal test used to diagnose genetic abnormalities, not for assessing fetal well-being.