ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
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 1 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.
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 2 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: Increased cramping with breastfeeding is a common occurrence due to the release of oxytocin, which causes uterine contractions. This can be quite painful and may necessitate PRN pain medication to manage the discomfort.
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 3 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes induced by the medication.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 4 of 5
In what order should the nurse perform the procedure?
Correct Answer: A, B, C, D, E
Rationale: The correct sequence is: 1) Warm the heel (
A), 2) Clean with antiseptic (
B), 3) Puncture the heel (
C), 4) Collect the sample (
D), 5) Apply pressure (E).
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.