ATI PN Maternal Newborn Rn X1

Extract:

newborn, phototherapy

Question 1 of 5

A nurse is updating the plan of care for a newborn who is undergoing phototherapy. Which of the following actions should the nurse include in the plan? (Select all that apply):

Correct Answer: C,D

Rationale: C, D: Frequent breastfeeding prevents dehydration, and glucose monitoring detects hypoglycemia. A and B are incorrect as lotion interferes with phototherapy, and prone positioning risks suffocation.

Extract:

neonate, delayed cord clamping

Question 2 of 5

Delayed cord clamping provides many benefits to the neonate and is considered a standard of care. The benefits include improvement in transitional circulation and..

A. Decreased iron stores during the first few months of life B. Decreased in RBC volume and hemoglobin levels C. Lowered incidence of necrotizing enterocolitis and intraventricular hemorrhage in preterm babies D. Increased need for blood transfusions

Correct Answer: C

Rationale: Delayed cord clamping reduces the risk of necrotizing enterocolitis and intraventricular hemorrhage in preterm infants by improving circulation and oxygen delivery.

Extract:

patient, fetal demise at 30 weeks gestation

Question 3 of 5

You are assuming the care of a patient admitted for a fetal demise at 30 weeks gestation. Which is the most therapeutic response to the patient?

A. At least you are young and can have another child. B. I am so sorry for your loss. My heart hurts for you. Can you tell me a little bit about your baby? C. There was probably something wrong and God has a way of taking care of these things. D. Don't cry, be strong for your family.

Correct Answer: B

Rationale: This response expresses empathy and invites the patient to share, supporting grief processing.

Extract:

baby, shoulder dystocia, turtle sign

Question 4 of 5

The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (Select all that apply):

A. Enter maneuvers (wood screw or rubin) by physician B. Put mother on all fours (gaskin) C. Suprapubic pressure by the nurse D. McRoberts by the nurse E. Delivery of the anterior arm by the physician F. Fundal pressure by the nurse

Correct Answer: A,B,C,D,E

Rationale: A, B, C, D, E: These maneuvers relieve shoulder dystocia by repositioning or reducing shoulder impaction. F is contraindicated as it worsens impaction.

Extract:

client, 38 weeks gestation, biophysical profile score of 10

Question 5 of 5

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

A. Administer oxygen and notify the provider. B. Assure the client that the score is within the expected range. C. Offer the client orange juice and repeat the assessment in 1 hr. D. Assist the client into a side lying position.

Correct Answer: B

Rationale: A biophysical profile score of 10 is normal, indicating fetal well-being, so reassurance is appropriate.

ATI PN Maternal Newborn Rn X1 | Nurselytic

Nurselytic

ATI LPN

ATI LPN