ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 1 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Before starting phototherapy, it's important to protect the newborn's eyes from the light by closing them before applying eyepatches to prevent retinal damage.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 3 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The instillation of antibiotic ophthalmic ointment is delayed to facilitate bonding between the newborn and the parent, promoting immediate skin-to-skin contact.
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Preterm newborns have less muscle tone, which exposes more body surfaces to heat loss. Muscle tone provides insulation and generates heat.
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 5 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: Increased cramping with breastfeeding is a common occurrence due to the release of oxytocin, which causes uterine contractions. This can be quite painful and may necessitate PRN pain medication to manage the discomfort.