ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy.
Question 1 of 5
What actions should the nurse take?
Correct Answer: D
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, preventing potential eye damage.
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 2 of 5
What clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.
Extract:
A nurse is assessing a newborn who is 2 hours old.
Question 3 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply)
Correct Answer: B, D
Rationale: Temperature instability and hypotonia are signs of hypoglycemia, affecting thermoregulation and muscle tone due to low blood sugar.
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 4 of 5
What type of isolation precautions should the nurse initiate for the client?
Correct Answer: C
Rationale: Contact precautions are appropriate for Clostridium difficile, which spreads through direct contact with contaminated surfaces or feces.
Extract:
A nurse is caring for a client who is postpartum and has a perineal laceration.
Question 5 of 5
What findings place the client at risk for delayed wound healing?
Correct Answer: A
Rationale: Changing the perineal pad only once daily increases infection risk, delaying healing, unlike frequent changes that maintain cleanliness.