ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.
Question 1 of 5
How should the nurse interpret the findings?
Correct Answer: B
Rationale: A BUN level of 40 mg/dL is higher than normal (7-20 mg/dL), indicating potential kidney dysfunction.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to choose option A, which is to document the guardian's refusal of the medication. This is important for legal and ethical reasons as it ensures that the refusal is properly recorded in the patient's medical records. By documenting the refusal, the nurse is fulfilling their duty to maintain accurate and comprehensive documentation. It also allows for continuity of care and communication among healthcare providers. Options B, C, and D are incorrect as they do not address the immediate need to document the refusal. Informing the guardian about giving the medication after discharge does not address the current refusal, reporting to social services may not be necessary at this stage, and involving the ethics committee is premature without proper documentation.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Check identification badges of staff who enter your room. This instruction is important for maintaining the safety and security of both the mother and newborn. By verifying the identification badges of staff, the mother can ensure that only authorized personnel are entering the room, reducing the risk of unauthorized individuals gaining access. This step helps in preventing any potential harm or security breaches.
Other choices are incorrect:
A: Removing the monitoring band for bathing can compromise the monitoring of the newborn's vital signs.
B: Limiting visitors to immediate family is a good practice but not as crucial for safety and security.
D: Sending the newborn to the nursery while sleeping may not be necessary and can disrupt bonding and breastfeeding.
In summary, option C is the most essential for ensuring the safety and security of the mother and newborn compared to the other choices.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 4 of 5
Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele's Rule, the estimated date of delivery is calculated by adding 7 days to the first day of the last menstrual period and then counting forward 3 months. For choice C (17-May), adding 7 days to the first day of the last menstrual period gives 10-May. Counting forward 3 months from this date lands on 10-May, which makes 17-May the estimated date of delivery.
Choice A (13-May) is incorrect as it does not follow the calculation correctly.
Choice B (20-May) is incorrect as it does not align with the calculation based on Nägele's Rule.
Choice D (2-May) is incorrect as it is an earlier date than the calculated estimated date of delivery.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This action is important in preventing infection post-surgery. Antibiotics help to target a wide range of potential pathogens that could cause infection, reducing the risk of complications. Monitoring the rectal temperature every 4 hours (
B) may be necessary but does not directly address infection prevention. Cleaning the site with povidone-iodine (
A) is important for cleanliness but does not prevent infection as effectively as antibiotics. Preparing for surgical closure after 72 hours (
C) is a timing issue and does not directly impact infection prevention.