ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: The correct answer is C, F, and G.
C: Lateral deviation of the uterus indicates a possible uterine abnormality that needs immediate follow-up to prevent complications.
F: Soft breasts could be a sign of inadequate lactation or mastitis, requiring prompt intervention.
G: Large amount of lochia rubra suggests excessive postpartum bleeding, which is concerning and necessitates immediate attention.
Other choices are less urgent:
A: Peripheral edema and blood pressure within normal range are common postpartum findings.
D: Pain rating of 3 is mild and does not necessitate immediate follow-up.
E: Uterine tone being soft can be normal in the early postpartum period.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 2 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene and preventing skin irritation. Washing with plain water is gentle and safe for a baby's delicate skin.
Choice A is incorrect as bathing immediately after feeding can lead to discomfort and potential choking hazards.
Choice B is incorrect as soft mattresses can increase the risk of Sudden Infant Death Syndrome (SIDS).
Choice D is incorrect as bumper pads pose a suffocation risk for infants.
Extract:
A nurse is caring for a newborn who is 5 days old. Medical History: History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: The correct actions for the nurse to take are A, F, and G.
- A: Maintaining a low stimulation environment is important for newborns to promote rest and decrease stress.
- F: Weighing the newborn daily helps monitor their growth and detect any potential issues early.
- G: Swaddling the newborn with flexed extremities can provide comfort and mimic the womb environment, helping to soothe the baby.
Other choices are incorrect:
- B: Naloxone is not routinely administered to newborns unless specific circumstances warrant it.
- C: Breastfeeding is typically encouraged unless contraindicated by specific circumstances.
- D: Eye contact during feeding is important for bonding and communication between the parent and newborn.
- E: Performing Ballard newborn screening each shift is not necessary and may cause unnecessary stress to the newborn.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.