ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate seizure precautions. This is crucial in caring for an infant at risk for seizures. Seizure precautions involve ensuring a safe environment, padding the crib, keeping the infant away from sharp objects, and having emergency medications ready. Placing the infant on his back with legs extended (
A) is the recommended sleep position but not directly related to seizure precautions. Providing a stimulating environment (
B) may not be appropriate for an infant at risk for seizures. Monitoring blood glucose every hour (
C) is not typically done for seizure precautions unless there is a specific indication.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 2 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Ovulation will remain the same." This statement indicates an understanding of the teaching as it acknowledges that the procedure being discussed will not affect the client's ovulation process. This shows that the client comprehends that the treatment will not interfere with their regular reproductive cycle.
Explanation of other choices:
A: Incorrect - Menstrual period length is not directly related to ovulation.
B: Incorrect - Hormone replacements post-procedure do not necessarily indicate understanding of the teaching.
C: Incorrect - Elimination of premenstrual tension does not specifically address ovulation.
In summary, choice D directly reflects the client's understanding of the impact of the procedure on ovulation, making it the correct answer.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because if the diaphragm does not fit properly, it may not effectively prevent pregnancy. The nurse should advise the individual to have their provider refit them for a new diaphragm to ensure proper sizing and fit. This is crucial for the diaphragm to be effective in preventing pregnancy.
Summary:
Choices B, C, and D are incorrect. Keeping the diaphragm in place for a specific time after intercourse, using oil-based lubricants, and storing the diaphragm in sterile water are not recommended instructions for diaphragm use and may lead to inefficacy or health risks.
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct statement is A because preterm newborns have less muscle tone, making them more susceptible to heat loss. This is due to their underdeveloped thermoregulatory mechanisms. Shivering (
B) is not a common response in newborns and is more likely to be seen in adults. Sweating (
C) is also not a common response in newborns as their sweat glands are not fully developed. Brown fat (
D) is essential for thermoregulation in newborns and helps them stay warm, not overheat.
Therefore, A is the correct statement as it directly addresses the vulnerability of preterm newborns to heat loss due to their low muscle tone.