ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
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 1 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:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis isn't necessary for sex determination; ultrasound is a safer alternative. CVS is earlier, age isn't a restriction, and same-day scheduling isn't appropriate.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 4 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: B
Rationale: Checking serum digoxin levels directly assesses adherence by confirming therapeutic range. Kidney function and pulse rate don't measure adherence, and self-reporting may be unreliable.
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 5 of 5
Which of the following food selections has the highest fiber content per cup?
Correct Answer: B
Rationale: Lentils have the highest fiber content per cup (15.6 g) compared to oatmeal (4 g), cabbage (2.2 g), and asparagus (3.7 g), making them the best choice for relieving constipation.