ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Document the guardian's refusal of the medication. This is the appropriate action because it ensures accurate and complete documentation of the refusal, which is essential for legal and ethical reasons. Reporting to social services (
A) may not be necessary unless there are concerns for the child's safety. Informing the guardian about giving the medication after discharge (
C) may not be appropriate as immediate treatment may be necessary. Notifying the ethics committee (
D) is premature without documenting the refusal first.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 2 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the client?
Correct Answer: B
Rationale: The correct answer is B: Scheduled induction of labor. In cases where the health of the mother or fetus is at risk or there are complications during pregnancy, a scheduled induction of labor may be discussed as a treatment option. This allows for controlled delivery, reducing risks associated with prolonged pregnancy. Immediate cesarean birth (
A) is typically reserved for emergencies. Dilation with suction curettage (
C) is a procedure used in cases of incomplete miscarriage, not for managing complications during pregnancy. Administration of methotrexate (
D) is used for medical management of ectopic pregnancies, not for other pregnancy-related issues.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 4 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is appropriate for individuals experiencing nausea because cold foods are less likely to trigger nausea compared to hot or warm foods. Cold foods can help soothe the stomach and reduce feelings of nausea. Brushing teeth after each meal (choice
B) is not relevant to addressing nausea. Drinking plenty of water when feeling nauseated (choice
C) can sometimes exacerbate nausea. Eating three large meals per day (choice
D) can overload the digestive system and worsen nausea. It's important to choose light, easily digestible foods at cooler temperatures when experiencing nausea.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Offer your baby a pacifier during naps if desired. This is the correct statement because pacifiers have been shown to reduce the risk of Sudden Infant Death Syndrome (SIDS) by providing a safe sucking mechanism that can help babies self-soothe. Providing a pacifier during naps can also help babies fall asleep faster and improve sleep quality.
Choice A is incorrect because applying triple antibiotic ointment on the umbilical cord can increase the risk of infection and delay the natural healing process.
Choice C is incorrect because giving a baby an immersion bath daily can strip their skin of natural oils and lead to dryness and irritation.
Choice D is incorrect because swaddling a baby with their legs in an extended position can increase the risk of hip dysplasia.
In summary, the correct statement promotes safe sleep practices and infant comfort, while the incorrect statements may pose risks to the baby's health and well-being.