ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
Question 1 of 5
What condition is the newborn most likely experiencing?
Correct Answer: A
Rationale: The symptoms of jitteriness, weak cry, and mottled extremities with acrocyanosis are indicative of hypoglycemia.
Extract:
A nurse is assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 2 of 5
What should the nurse do first?
Correct Answer: B
Rationale: Massaging the client's fundus is the priority action to address excessive vaginal bleeding by stimulating uterine contractions.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the birth canal and promoting descent. Pressing on the suprapubic area (
B) could be painful for the client and is not a recommended technique. Applying pressure to the fundus (
C) can cause uterine contractions and should be avoided during labor. Moving the client onto their hands and knees (
D) may not be suitable for all situations and could potentially hinder the progress of labor.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 4 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: The correct answer is C. Asking about the amount of protein eaten in a day is important to assess the client's overall dietary intake, as protein is a crucial macronutrient for body function. This question helps the nurse evaluate if the client is meeting their protein needs for optimal health.
A: The question about the last time meat was eaten is specific and limited to one food item, not providing a comprehensive assessment of dietary intake.
B: Inquiring about Vitamin C supplement intake focuses on a single nutrient and does not give a holistic view of the client's overall diet.
D: Asking about shellfish is too specific and may not provide a broad understanding of the client's dietary habits.
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to initiate seizure precautions (
C) because the infant is at risk for seizures. Seizure precautions include ensuring a safe environment, such as removing potential hazards and padding sharp corners. Monitoring blood glucose every hour (
B) is not indicated unless there is a specific medical condition requiring it. Providing a stimulating environment (
A) may not be appropriate during a seizure risk. Placing the infant on his back with legs extended (
D) is a basic infant positioning but does not address the seizure risk directly.