ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A newborn who has jaundice and a new prescription for phototherapy.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, unlike the other options: frequent turning isn't needed, lotion blocks light, and glucose water isn't standard.
Extract:
A newborn immediately following birth.
Question 2 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: A: Color consistent with genetic background is unrelated to initial findings, suggesting normal adjustment. B: Normal temperature and cry indicate improvement. C: Flaccid tone suggests worsening, possibly neurological. D: Good cry shows respiratory improvement. E: Normal heart rate (140/min) indicates cardiovascular stability.
Extract:
A new parent about findings that require notification of the newborn's provider.
Question 3 of 5
Which of the following newborn clinical manifestations should the nurse include in the teaching?
Correct Answer: A
Rationale: Yellowed sclera indicates jaundice, requiring provider notification due to potential bilirubin issues, unlike the other normal newborn findings.
Extract:
A client who reports methadone use during pregnancy.
Question 4 of 5
The nurse should expect the newborn to exhibit which of the following manifestations?
Correct Answer: A
Rationale: Poor feeding is a common sign of neonatal abstinence syndrome from maternal methadone use, unlike the other options, which are less specific or normal.
Extract:
A newborn who has jaundice and a new prescription for phototherapy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, unlike the other options: frequent turning isn't needed, lotion blocks light, and glucose water isn't standard.