ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who reports methadone use during pregnancy.
Question 1 of 5
The nurse should expect the newborn to exhibit which of the following manifestations?
Correct Answer: A
Rationale: The correct answer is A: Poor feeding. Newborns may exhibit poor feeding due to various reasons such as immature sucking reflex, inadequate milk production, or other health issues. This is a common manifestation that nurses should expect and address promptly to ensure the newborn's well-being. Weak cry (
B) and absent Moro reflex (
C) are concerning signs that may indicate neurological or developmental issues, but they are not typical manifestations expected in all newborns. Respiratory rate of 30/min (
D) is within the normal range for newborns, so it is not a significant concern unless accompanied by other respiratory distress symptoms.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This is crucial in the plan of care to address potential infection post-injury. Antibiotics help prevent or treat infections that can develop in the wound site. Monitoring rectal temperature (
B) does not directly address wound care. Preparing for surgical closure (
A) can be important but addressing infection is a higher priority. Cleansing with povidone-iodine (
C) is a good practice, but antibiotics are necessary for systemic infection prevention.
Extract:
A client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Collect hemoglobin and hematocrit levels. This is the first action the nurse should take to assess the client's oxygen-carrying capacity and hydration status. It provides crucial data for determining the client's overall health status. Inserting an indwelling urinary catheter (
B) is not the priority unless indicated. Administering oxygen via face mask (
C) is important, but assessing the client's hemoglobin and hematocrit levels takes precedence. Preparing the client to receive a plasma expander (
D) should only be done after assessing the client's current status.
Extract:
A client who is in labor and has a spontaneous rupture of membranes. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 4 of 5
After calling for help, which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is A: Use fingers to exert upward pressure on the presenting part. This is the first step in managing a prolapsed cord to alleviate pressure on the cord and prevent fetal hypoxia. Immediate action is crucial in this emergency situation. Administering tocolytic medication (
B) is not the priority as it does not address the immediate risk to the fetus. Applying oxygen via facemask (
C) is important but secondary to relieving cord compression. Wrapping the cord in a sterile towel (
D) is not recommended as it can further compress the cord.
Extract:
An adolescent client who requests a prescription for birth control.
Question 5 of 5
Which of the following questions should the nurse ask?
Correct Answer: B
Rationale: The correct answer is B: What do you know about contraception? This question is important as it assesses the individual's knowledge on preventing unwanted pregnancies. It helps the nurse tailor education and interventions to the individual's needs.
Choice A assumes coercion, not all relationships involve pressure for sex.
Choice C is subjective and not directly related to contraception.
Choice D is judgmental and may discourage open communication.
Choices E, F, and G are not provided, therefore not relevant.