ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a term newborn who is 48 hr old. Physical Examination: High-pitched cry, Mild tremors when disturbed, Increased muscle tone, Sneezing six times within 1 hr, Excessive sucking, Color: Consistent with genetic background, Excoriation of the chin, Watery stools, Projectile vomiting, Hyperactive Moro reflex.
Question 1 of 5
The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: The correct answer is D: Continuous high-pitched cry. This finding indicates potential issues like discomfort, hunger, or illness in the newborn. It's concerning because continuous crying can be a sign of distress or underlying medical problems. Regurgitation (
A) is common in newborns due to immature digestive system. Mottling (
B) is a transient skin discoloration that can occur normally in newborns. Transient strabismus (
C) is common as newborns' eye muscles are still developing. Respiratory rate of 70/min (E) is within the normal range for newborns. Loose stools (F) are expected in breastfed newborns.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 2 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 3 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Question 4 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of protein, calcium, and vitamin D, which are important for bone health. Fortified soy milk provides additional nutrients like B12, which is important for nerve function. Raw carrots (
A) lack essential nutrients found in fortified soy milk. Brown rice (
B) lacks the same level of nutrients as soy milk. Fresh citrus fruits (
C) are good sources of vitamin C, but do not provide the same essential nutrients as fortified soy milk.
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.