ATI RN
RN Maternal Nursing OB Newborn 2023 2024 Exam Questions
Extract:
A nurse is caring for a 36-hr old Infant
Exhibit 1
Nurses' Notes
24 hr of age:
Newborn is alert and active when awake. Respirations easy and
unlabored. Buccal membranes jaundiced. Newborn nursing
every 2 to 4 hr. Passed meconium stool. Small amount of urine
noted in diaper.
Transcutaneous bilirubin (TcB) 10 mg/dL
36 hr of age:
Newborn sleeping on birthing parent's chest. Birthing parent
reports difficulty keeping newborn awake during feedings.
Nursing every 3 to 5 hr for 10 to 15 min. Buccal membranes and
sclera jaundiced.
TcB at 36 hr 15.5 mg/dL
Question 1 of 5
The nurse is preparing the infant for phototherapy.For each nursing action, click to specify if the action is indicated or contraindicated for the newborn.
| Nursing Action | Indicated | Contraindicated |
|---|---|---|
| Supplement feeding with sterile water. | ||
| Dress in only a diaper. | ||
| Cover newborn's eyes with a shield | ||
| Apply lotion to skin every 4 Mr. | ||
| Breastfeed every 2 to 3 hr. |
Correct Answer:
Rationale: Increase IV fluids for better circulation
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale:
Extract:
Question 3 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.
Question 4 of 5
A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels to rule out hypoglycemia, which can lead to serious complications like seizures. Monitoring blood glucose is crucial for immediate intervention.
Total bilirubin (
B) is important for assessing jaundice, hemoglobin (
C) for anemia, and blood calcium (
D) for hypocalcemia, but these are not the priority in this situation. Blood glucose level is the main concern due to its potential immediate impact on the newborn's neurological function.
Question 5 of 5
Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.