ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for 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 is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D) for a patient. This is because misoprostol is commonly prescribed in obstetric practice for various indications, such as induction of labor, management of postpartum hemorrhage, and treatment of incomplete abortion. Anticipating this prescription allows the nurse to be prepared for the medication administration process, including understanding the dosage, route of administration, potential side effects, and monitoring requirements.
Choice A is incorrect as obtaining a specimen for a Kleihauer-Betke test is not the immediate action required based on the scenario provided.
Choice B, administering betamethasone IM, is also incorrect as it is not the appropriate action indicated in the situation described.
Choice C, avoiding performing sterile vaginal examinations, is not relevant to the given scenario and does not address the patient's immediate needs.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is correct because diaphragms should be refitted periodically to ensure proper fit and effectiveness.
Choice B is incorrect because diaphragms should be left in place for at least 6 hours after intercourse, not 4.
Choice C is incorrect as oil-based lubricants can degrade the diaphragm material, so water-based lubricants should be used.
Choice D is incorrect because diaphragms should be stored dry, not in sterile water.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 4 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: D
Rationale: The correct answer is D: Oxygen saturation of 89%. A low oxygen saturation level indicates poor oxygenation, which is a critical indicator of a decline in the newborn's status. Oxygen saturation below 90% is concerning and may lead to hypoxia, affecting vital functions. Nasal flaring (
A) and fine crackles (
C) can be early signs of respiratory distress but do not directly indicate a decline. An apneic episode less than 15 seconds (
B) is common in newborns and does not necessarily indicate a significant decline. In summary, a low oxygen saturation level is the most critical finding that indicates a decline in the newborn's status compared to the other choices.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 5 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D. Checking identification badges of staff who enter the room is crucial for ensuring the safety and security of the newborn and the mother. By verifying the identity of the staff, the nurse can prevent unauthorized individuals from accessing the room and potentially harming the newborn or the mother. This practice also helps in maintaining a secure and controlled environment within the healthcare setting.
Choice A is incorrect because limiting visitors to immediate family may not address all potential risks to the newborn and mother.
Choice B is incorrect as sending the newborn to the nursery while the mother is sleeping may disrupt bonding and breastfeeding.
Choice C is incorrect as removing the electronic monitoring band can compromise the monitoring of the newborn's vital signs.