ATI RN
ATI RN Maternal Newborn 2023 II 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: B
Rationale: The correct answer is B:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for crucial bonding time between the newborn and parent, promoting emotional connection and attachment. This early bonding is essential for the newborn's overall well-being and development.
Choice A is incorrect because the newborn's weight does not impact the timing of antibiotic ointment instillation.
Choice C is incorrect as delaying the ointment does not help in identifying infection manifestations.
Choice D is incorrect as the mode of delivery does not affect the timing of antibiotic ointment instillation.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because if the diaphragm does not fit properly, it may not effectively prevent pregnancy. The nurse should advise the individual to have their provider refit them for a new diaphragm to ensure proper sizing and fit. This is crucial for the diaphragm to be effective in preventing pregnancy.
Summary:
Choices B, C, and D are incorrect. Keeping the diaphragm in place for a specific time after intercourse, using oil-based lubricants, and storing the diaphragm in sterile water are not recommended instructions for diaphragm use and may lead to inefficacy or health risks.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 3 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because positioning the car seat at a 45-degree angle is crucial for the safety of the baby. This angle helps prevent the baby's head from falling forward and restricting their airway.
Choices A, B, and C are incorrect because a car seat challenge test is not related to understanding teaching, using a sleep sack in a car seat may compromise safety, and turning the car seat forward before the recommended age is unsafe.
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 4 of 5
Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, D, E, C
Rationale: The correct order is A, B, D, E, C. Firstly, instructing the client to empty their bladder ensures a clearer examination. Positioning the client supine with knees flexed and placing a small, rolled towel under one hip helps relax the abdominal muscles for better palpation of the fundus (
D). Palpating the fetal parts along both sides of the uterus (E) helps determine the fetal position. Finally, palpating the fetal part positioned above the symphysis pubis (
C) allows for confirmation of the fetal presentation. This sequence ensures a systematic and thorough assessment of the fetal position and presentation.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 5 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 for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.