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: The correct action for the nurse to take is to close the newborn's eyes before applying eyepatches (
Choice
C). This is crucial to prevent any irritation or discomfort to the newborn's eyes during the application of the eyepatches. Closing the eyes also ensures that the eyepatches are applied correctly and securely.
Choice A is incorrect because turning the newborn every 4 hours is not related to applying eyepatches.
Choice B is incorrect as hydrating lotion is not necessary prior to applying eyepatches.
Choice D is incorrect as providing glucose water after each feeding is not relevant to the situation at hand.
In summary, the correct action of closing the newborn's eyes before applying eyepatches is essential for the safety and comfort of the newborn during the procedure.
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 client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 3 of 5
Which of the following clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: The client's fundus is firm and midline. This is the expected therapeutic effect after childbirth as the uterus contracts to reduce bleeding and return to its normal size. A firm and midline fundus indicates proper uterine contraction and involution.
Choice A is incorrect as vaginal fullness is not a typical therapeutic effect of medication.
Choice C suggests excessive bleeding, which is not a desired outcome.
Choice D is irrelevant to postpartum care.
Extract:
A client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 4 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 tablets per dose. This is because when rounding to the nearest tenth, 0.5 falls midway between 0 and 1. In this case, 0.5 is closer to 0 than to 1, so we round down to 0.5. The other choices are incorrect as follows: A: 0 -
Too low, as 0.5 is closer to 1 than to 0. B-G: Any whole number or fraction greater than 0.5 is incorrect because rounding 0.5 down to the nearest tenth results in 0.5 tablets per dose.
Extract:
A client who is 1 hr postpartum and has preeclampsia without severe features.
Question 5 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.