ATI RN
ATI RN Maternal Newborn 2023 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 answer is C: Close the newborn's eyes before applying eyepatches. This is important to prevent any irritation or discomfort to the newborn when applying eyepatches. Closing the eyes ensures that the patches adhere properly and do not cause any harm. Providing glucose water (
A) is unnecessary and not recommended for newborns. Turning the newborn every 4 hours (
B) is a good practice for preventing pressure ulcers in older patients, not typically needed for newborns. Applying hydrating lotion (
D) prior to treatment may interfere with the effectiveness of the treatment and is not a recommended practice for newborn care.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 2 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Answer A is correct as it demonstrates an understanding of the teaching regarding proper positioning of a car seat for an infant. Placing the car seat at a 45-degree angle is important to ensure the baby's airway remains open and prevents slumping, reducing the risk of suffocation. This statement shows awareness of the safety guidelines for infant car seat usage.
Choice B is incorrect as a car seat challenge test is usually performed in the hospital and not before discharge by parents.
Choice C is incorrect as it is unsafe to turn a baby's car seat to face forward at 1 year old; it is recommended to keep the seat rear-facing for as long as possible for optimal safety.
Choice D is incorrect as using a sleep sack in the car seat can interfere with the harness system and compromise the baby's safety in case of a crash.
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: C
Rationale:
Correct
Answer: C - "You should have your provider refit you for a new diaphragm."
Rationale: It is important for the nurse to instruct the patient to have their provider refit them for a new diaphragm because diaphragms need to be properly fitted to ensure effectiveness in contraception. Over time, the size and shape of the cervix can change, which may affect the fit of the diaphragm. It is recommended to have the diaphragm refitted after significant weight change, pregnancy, childbirth, or every 2-3 years. This ensures that the diaphragm continues to provide optimal protection against pregnancy.
Summary of Incorrect
Choices:
A: Using an oil-based lubricant can damage the diaphragm. Water-based lubricants are recommended.
B: The diaphragm should be kept in place for at least 6 hours, not 4 hours, after intercourse.
D: Diaphragms should be stored in a cool, dry place, not sterile
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 4 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. This is a common adverse effect of hormonal medications, such as oral contraceptives. Breast tenderness occurs due to hormonal changes affecting breast tissue. Chills (
B) are not typically associated with hormonal medications. Tinnitus (
C) is a ringing in the ears, which is not a common side effect of oral contraceptives. Urinary frequency (
D) is also not a typical adverse effect of hormonal medications. Breast tenderness is a known side effect and should be included in patient education.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 5 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: Rationale for choice C: Asking how much protein the client eats in a day assesses the client's overall dietary intake and can provide valuable information about their nutritional status. Protein is an essential macronutrient, and inadequate intake can lead to various health issues. By inquiring about protein consumption, the nurse can evaluate if the client is meeting their nutritional needs.
Rationale for other choices:
A: Asking about the last time the client ate meat is specific and may not give a comprehensive picture of their overall dietary habits.
B: Asking if the client has considered eating shellfish is too specific and does not address their current dietary intake.
D: Inquiring about a Vitamin C supplement is not directly related to assessing the client's overall dietary intake.