ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 1 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 caring for an infant who has signs of neonatal abstinence syndrome.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to initiate seizure precautions (
C) because the infant is at risk for seizures. Seizure precautions include ensuring a safe environment, such as removing potential hazards and padding sharp corners. Monitoring blood glucose every hour (
B) is not indicated unless there is a specific medical condition requiring it. Providing a stimulating environment (
A) may not be appropriate during a seizure risk. Placing the infant on his back with legs extended (
D) is a basic infant positioning but does not address the seizure risk directly.
Extract:
A nurse is caring for a client who is 1 hour postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D). This is because misoprostol is commonly used in obstetrics to induce labor or help with postpartum hemorrhage. Administering betamethasone IM (
Choice
B) is not necessary in this scenario. Avoiding sterile vaginal examinations (
Choice
A) is not recommended as they may be needed for assessing progress in labor. Obtaining a specimen for a Kleihauer-Betke test (
Choice
C) is used to determine the amount of fetal blood in the maternal circulation, but it is not the immediate action required in this situation.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 4 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.
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 5 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.