ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is evaluating a newborn who was born 2 hours ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 1 of 5
Which finding indicates a decline in the newborn's status?
Correct Answer: A
Rationale: An oxygen saturation of 89% is below the normal range for a newborn (above 95%), indicating a decline in status.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 2 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 3 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.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.
Extract:
A nurse is caring for a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 5 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.