ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is helping a provider administer a dinoprostone insert to induce labor in a client.
Question 1 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Confirming informed consent ensures the client understands risks and benefits, a critical step before administering dinoprostone. Other options aren't standard protocol.
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in the bassinet, lightly swaddled. The newborn appears jittery with a weak cry when disturbed. The extremities are mottled with acrocyanosis. The respirations are rapid and unlabored.
Question 2 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Monitoring vital signs assesses potential neonatal abstinence syndrome or distress indicated by jitteriness and rapid breathing. Tighter swaddling, oxygen, or immediate notification aren't warranted without further data.
Extract:
Exhibit 1: 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). Exhibit 2: Nurses' Notes at 0700hrs • Newborn exhibits a continuous high-pitched cry and has minimal sleep. • Tremors and hyperactive Moro reflex noted. • Increased muscle tone and excessive sucking observed. • Newborn has uncoordinated sucking and swallowing during feeding. • Newborn appears irritable and difficult to console. • Skin mottling and frequent yawning observed. • Sneezing and nasal stuffiness noted. Nurses' Notes at 0900hrs • Newborn continues to exhibit a high-pitched cry and minimal sleep. • Tremors persist, with increased frequency and intensity. • Hyperactive Moro reflex remains evident. • Muscle tone remains increased, with excessive sucking still observed. • Feeding difficulties continue with uncoordinated sucking and swallowing. A nurse is caring for a newborn who is 5 days old in the neonatal intensive care unit (NICU).
Question 3 of 5
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, C, F
Rationale: Swaddling with flexed extremities and a low stimulation environment reduce NAS symptoms; daily weighing monitors nutrition. Naloxone is contraindicated in opioid-dependent newborns, breastfeeding is encouraged with methadone, Ballard screening isn't shift-based, and avoiding eye contact isn't beneficial.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Closing the eyes before applying eyepatches protects them from phototherapy light. Turning isn't critical, lotion blocks light, and glucose water isn't indicated.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assisting the client to the bathroom is the least invasive first step to encourage natural voiding. Catheterization and other interventions follow if this fails.