ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa.
Question 1 of 5
Which of the following assessment findings requires immediate follow-up?
Correct Answer: A
Rationale: Placenta previa is a condition where the placenta partially or completely covers the cervix. Vaginal bleeding, often without pain, is a key symptom and requires immediate medical attention.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus (MRSA).
Question 2 of 5
Which type of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: Contact precautions are recommended for clients with MRSA, involving personal protective equipment and limiting patient movement.
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 3 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: Erythromycin ophthalmic ointment is administered to newborns to prevent neonatal conjunctivitis, also known as ophthalmia neonatorum, specifically for Neisseria gonorrhoeae infection prevention. If the guardian refuses the administration of erythromycin, the healthcare provider should respect the guardian's decision and document the refusal.
Extract:
A nurse is evaluating a newborn who was born 2 hours 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 finding indicates a decline in the newborn's status?
Correct Answer: A
Rationale: An oxygen saturation of 89% is below the normal range for a newborn (above 95%), indicating a decline in status.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In the event of shoulder dystocia during the second stage of labor, the McRoberts maneuver involves assisting the client in pulling their knees toward their abdomen to widen the pelvic outlet.