ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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. Ensure that the parent's identification band number matches the newborn's identification band number.
Rationale: Matching the parent's identification band number with the newborn's ensures proper identification, preventing mix-ups and ensuring the newborn is returned to the correct parent. This step is crucial for patient safety and security.
Incorrect
Choices:
B: Asking the parent to verify their name and date of birth may not be sufficient for accurate identification as parents can make mistakes or someone could falsely claim to be the parent.
C: Checking the newborn's security tag number is important but may not be as reliable as matching identification band numbers.
D: Matching date and time of birth to the parent's medical record is not a common practice for identification and may not be as accurate as matching identification band numbers.
Question 2 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in late preterm newborns can present with signs such as respiratory distress due to inadequate glucose supply to the brain, leading to central nervous system dysfunction. Hypertonia (choice
A) is not a typical sign of hypoglycemia. Increased feeding (choice
B) is a compensatory mechanism to raise blood glucose levels. Hyperthermia (choice
C) is not directly related to hypoglycemia.
Therefore, choice D is the most indicative of hypoglycemia in this scenario.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The correct answer is A, B, C, and G.
A: Coombs test result is important for assessing for hemolytic anemia.
B: Mucous membrane assessment can indicate hydration status and oxygenation.
C: Intake and output are crucial for assessing fluid balance.
G: Sclera color can indicate liver function or jaundice.
Other choices are incorrect because:
D: Respiratory rate is important, but not typically a priority to report unless abnormal.
E: Head assessment finding is broad and does not specify a critical finding.
F: Heart rate is important, but not as critical as the other choices.
Extract:
Question 4 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 5 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I should empty my bladder before the procedure."
Rationale: Emptying the bladder before amniocentesis helps prevent puncturing the bladder during the procedure due to its proximity to the uterus. This statement indicates understanding of the importance of bladder emptying to ensure a safe and successful amniocentesis.
Summary of other choices:
B: Incorrect - Lying on the side is not a key instruction for amniocentesis.
C: Incorrect - Most amniocentesis procedures are performed while the client is awake.
D: Incorrect - Fasting is not necessary for amniocentesis; it is a simple and quick procedure that does not require fasting.