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?
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 a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 2 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 3 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?
Correct Answer: A
Rationale: The correct answer is A: Scheduled induction of labor. In this scenario, the nurse should anticipate the provider discussing this treatment option with the patient because it is a common intervention for various obstetric conditions such as post-term pregnancy, preeclampsia, or fetal compromise. Induction of labor can help prevent complications and promote a safe delivery for both the mother and baby. The other choices are incorrect because: B - Immediate cesarean birth is typically considered in emergency situations and not as a routine treatment option. C - Administration of methotrexate is used for medical management of ectopic pregnancy, not for inducing labor. D - Dilation with suction curettage is a procedure used for managing certain gynecological conditions, not for labor induction.
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 4 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: The correct answer is B, breast tenderness. As a nurse, it is essential to include this adverse effect because it is commonly associated with certain medications like hormonal therapies. Breast tenderness can be a significant concern for patients and may impact their quality of life. Chills (
A) are more commonly associated with infections or fevers rather than medication side effects. Tinnitus (
C) is a condition related to the ear and not typically a side effect of most medications. Urinary frequency (
D) is more commonly seen with conditions like urinary tract infections rather than medication adverse effects.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 5 of 5
How should the nurse interpret the findings 24 hr later?
Correct Answer: A
Rationale: The correct answer is A: Decreased extremity edema. This indicates improved circulation and reduced fluid retention, a positive response to treatment. Redness (
B) may indicate infection, leukocytosis (
C) suggests inflammation or infection, and tachycardia (
D) could be a sign of distress. Monitoring for improvement in edema is crucial in assessing the effectiveness of treatment.