RN ATI Maternal Newborn 2023 with NGN -Nurselytic

Questions 59

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RN ATI Maternal Newborn 2023 with NGN Questions

Extract:

“A nurse is caring tor a newborn.
Exhibit1:
Medical History. Apgar score 9 at 1 min and 9 at 5 min Birth weight 4,706 g (10 lb 6 oz)| Gestational age
40 weeks Difficult vaginal birth with shoulder dystocia.
EXHIBIT2:
Nurses: Notes 1700: Newborn is active and moves all extremities except for right arm. No spontaneous
movement of the right arm noted, Right arm remains at side during Moro reflex.
Exhibit3:
Physical examination 1830: Absent Moro reflex noted in right arm. Right shoulder and arm are internally
rotated and adducted. Elbow extended. Forearm pronated with wrist and fingers flexed. Diagnosis.
brachial prexus injury resulting in trot Duchenne (Erb's palsy) paralysis


Question 1 of 5

Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is Indicated or contraindicated for the newborn

Potential Nursing Action Indicated Contraindicated
Educate the parents to begin range of motion exercises on the affected arm after 1 week.
Assess for grasp reflex in the affected extremity.
Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt.
Instruct parents to limit physical handling for 2 weeks.

Correct Answer: B

Rationale: [0, 1, 0, 0]
Assess for grasp reflex in the affected extremity is the correct answer. This action is indicated as it allows the nurse to evaluate neurological function and muscle strength in the affected arm without causing harm. Educating parents to begin range of motion exercises after 1 week (
A) is contraindicated as it may exacerbate injury or delay healing. Immobilizing the arm across the abdomen (
C) is also contraindicated as it can restrict movement and hinder recovery. Instructing parents to limit physical handling for 2 weeks (
D) is not the best option as it may not provide the necessary assessment and treatment for the newborn's condition.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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Rationale:

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