ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a newborn immediately following birth.
Question 1 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A. Delaying the instillation of antibiotic ophthalmic ointment helps facilitate bonding between the newborn and parent. This is important because the initial moments after birth are crucial for establishing a strong emotional connection between the newborn and the parent, which can have long-lasting positive effects on the child's development.
Choices B, C, and D are incorrect because the weight of the newborn, identifying infection, and mode of delivery do not directly impact the need to delay the instillation of the ointment for bonding purposes.
Extract:
A nurse is assessing a patient who is 3 days postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool, clammy skin. This finding indicates possible signs of poor perfusion or shock, which require immediate attention. The other choices are within normal limits or expected postpartum findings. A: Heart rate 89/min is generally normal. C: BP 120/70 mm Hg is within normal range. D: Moderate lochia serosa is an expected finding in the postpartum period.
Therefore, B is the only abnormal finding that requires immediate reporting to the provider for further evaluation and intervention.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 3 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel (
A) helps dilate the blood vessels for easier puncture. Next, cleaning the area with an antiseptic (
B) reduces the risk of infection. Puncturing the outer aspect of the newborn's heel (
C) allows for blood collection. Collecting the blood specimen (
D) is the next step to obtain the sample. Finally, applying pressure to the site with a dry gauze pad (E) helps to stop bleeding and promote healing.
Choices F and G are not applicable in this context.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 4 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.
Extract:
A nurse is caring for a client who is one day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. This is important to ensure proper attachment and effective milk transfer, preventing nipple soreness and inadequate milk supply. Option A is incorrect as limiting breastfeeding time can hinder milk production. Option C is incorrect as newborns need frequent feedings. Option D is incorrect as offering formula can interfere with establishing breastfeeding.