ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Postpartum clients with assistive personnel (AP)
Question 1 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: C
Rationale: Providing a sitz bath is within the AP's scope, not requiring clinical judgment, unlike the other tasks.
Extract:
Client is 6 hours postpartum requesting nurse to feed newborn
Question 2 of 5
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?
Correct Answer: D
Rationale: Offering support and guidance encourages the mother's confidence while addressing her hesitation empathetically.
Extract:
Newborn with secretions bubbling out of nose and mouth
Question 3 of 5
A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Suctioning the mouth first clears the airway, prioritizing effective breathing in the presence of secretions.
Extract:
Newborn symmetrically abducts and extends arms with fingers fanning out and tremor on loud noise
Question 4 of 5
While evaluating the reflexes of a newborn, the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms, his fingers fan out and form a C with the thumb and forefinger, and he has a slight tremor. The nurse would document this finding as a positive reflex.
Correct Answer: A
Rationale: This description matches the Moro reflex, a normal startle response in newborns to loud stimuli.
Extract:
Postpartum clients with assistive personnel (AP)
Question 5 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: C
Rationale: Providing a sitz bath is within the AP's scope, not requiring clinical judgment, unlike the other tasks.