ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Infant heelstick procedure
Question 1 of 5
The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone. What approach should the nurse take when performing the test to prevent this complication?
Correct Answer: B
Rationale: The outer heel is safer, avoiding bone penetration and reducing the risk of necrotizing osteochondritis.
Extract:
Mother with preterm infant in special care nursery storing breast milk
Question 2 of 5
A nurse is discussing the storage of breast milk with a mother whose infant is preterm and in the special care nursery. Which statement indicates that the mother requires additional teaching?
Correct Answer: B
Rationale: Breast milk can only be stored in the refrigerator for up to 8 days, not 3 months, indicating a need for further teaching.
Extract:
Postpartum clients with assistive personnel (AP)
Question 3 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: C
Rationale: Providing a sitz bath is within the AP's scope, not requiring clinical judgment, unlike the other tasks.
Extract:
Client 2 hr after spontaneous vaginal birth, saturated two perineal pads in 30 min
Question 4 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: A
Rationale: Assessing the fundus is the priority to check for uterine atony, a common cause of excessive postpartum bleeding.
Extract:
Question 5 of 5
A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 120
Rationale: Using the formula (mL/hr x drop factor) / 60 = (120 x 60) / 60 = 120 gtt/min, the rate is correctly calculated.