ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is 1 hr postpartum and has preeclampsia without severe features.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess for edema. It is important for the nurse to assess for edema as it can indicate fluid overload or renal dysfunction, both of which require prompt intervention. Edema assessment involves checking for swelling in the extremities, pitting edema, and monitoring intake and output. Obtaining a prescription for misoprostol (
A) is not necessary without a specific indication. Restricting daily oral fluid intake (
C) could be harmful, especially if the patient is already dehydrated. Administering an IV bolus of lactated Ringer's (
D) is not appropriate without a physician's order and assessment indicating the need for fluid resuscitation.
Extract:
A maternal unit policy to ensure proper identification of newborns.
Question 2 of 5
Which of the following should the nurse include in the policy?
Correct Answer: C
Rationale: The correct answer is C because obtaining an imprint of the infant's feet prior to taking him to the nursery is crucial for proper identification and ensuring the right baby goes to the correct parent. This step helps prevent mix-ups and enhances patient safety.
Choice A is incorrect because replacing the infant's identification band after his name has been recorded may lead to errors in identification.
Choice B is incorrect as checking the newborn's identification using the crib card alone may not be sufficient for accurate identification.
Choice D is incorrect as requiring visitors to wear an identification band does not directly address the issue of infant identification and safety.
In summary, choice C is the most appropriate as it directly contributes to proper infant identification and reduces the risk of errors, making it the best option for inclusion in the policy.
Extract:
A newborn immediately following birth.
Question 3 of 5
How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.
| Finding | Unrelated to diagnosis | Indication client's condition is improving | Indication client's condition is worsening |
|---|---|---|---|
| Color: Consistent with genetic background - Unrelated | |||
| Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving | |||
| Muscle tone: flaccid - Worsening | |||
| Respiration effort: good cry - Improving | |||
| Heart rate 140/min - Improving |
Correct Answer: A,B,C,D,E
Rationale:
The correct answer is A,B,C,D,E.
A: Color consistent with genetic background is unrelated to the diagnosis as it does not provide any direct information about the client's condition.
B: Axillary temperature 36.3°C, Reflex irritability: cry are indications that the client's condition is improving.
C: Muscle tone flaccid is an indication that the client's condition is worsening.
D: Respiration effort: good cry is an indication that the client's condition is improving.
E: Heart rate 140/min is an indication that the client's condition is improving.
Extract:
A client who is pregnant.
Question 4 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: B
Rationale: The correct answer is B: Previous cervical cerclage. This procedure is done to prevent preterm birth in women with a history of cervical insufficiency. The placement of a cervical cerclage indicates a higher risk for preterm delivery compared to the other options. A: Previous delivery at 37 weeks gestation is not indicative of a higher risk for preterm delivery. C: Previous reactive non-stress test is a normal finding in prenatal care and does not necessarily indicate preterm delivery risk. D: Previous delivery of a newborn weighing 2.5 kg is not a strong predictor of preterm delivery risk.
Extract:
A full-term newborn upon admission to the nursery.
Question 5 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down syndrome and requires further evaluation. B: Rust-stained urine could indicate hematuria, but it does not require immediate provider notification. C: Transient circumoral cyanosis is common in infants and usually resolves on its own. D: Subconjunctival hemorrhage is usually benign and does not typically necessitate immediate provider notification.