ATI RN Maternal Newborn 2023/24 1st Attempt & Retake -Nurselytic

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ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions

Extract:

A nurse is caring for a newborn who is 48 hr old.

Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45 gm/dL)
Complete the diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client’s progress.


Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Action to Take

Place newborn skin to skin on birthing parent's chest
Encourage birthing parent to breastfeed
Obtain a prescription for arterial blood gases
Plan to initiate phototherapy
Perform neonatal abstinence system scoring.

Potential Condition

Cold stress
Acute bilirubin encephalopathy
Respiratory distress syndrome
Neonatal abstinence syndrome (NAS)

Parameter to Monitor

Stool output
Temperature
Lung sounds
Blood glucose level
Bilirubin level

Correct Answer:

Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E. The correct answer is to place newborn skin to skin on birthing parent's chest (
A) to promote bonding and regulate temperature, and encourage breastfeeding (
B) for nutrition and immune benefits. The potential condition the client is most likely experiencing is Cold stress (
B), indicated by the need for phototherapy. The nurse should monitor Temperature (
C) for signs of hypothermia and Bilirubin level (E) to assess jaundice severity. These interventions and parameters address the client's most likely condition and provide comprehensive care.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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