ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 1 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: Erythromycin ophthalmic ointment is administered to newborns to prevent neonatal conjunctivitis, also known as ophthalmia neonatorum, specifically for Neisseria gonorrhoeae infection prevention. If the guardian refuses the administration of erythromycin, the healthcare provider should respect the guardian's decision and document the refusal.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 2 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.
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: In the event of shoulder dystocia during the second stage of labor, the McRoberts maneuver involves assisting the client in pulling their knees toward their abdomen to widen the pelvic outlet.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Providing the client with photos of the fetus can be a helpful part of the grieving process, based on the family's wishes.
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 5 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.