ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 1 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. This statement shows understanding as it highlights the importance of emptying the bladder before the procedure to prevent any discomfort or complications.
Choice B is incorrect because fasting for 24 hours is unnecessary and could be harmful.
Choice C is incorrect as the client is expected to be awake during the procedure.
Choice D is incorrect because the client may not necessarily be lying on their side.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 2 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: A
Rationale: The correct answer is A: Facial palsy. Facial palsy can occur as a complication of birth trauma, particularly during a difficult delivery such as forceps or vacuum extraction. This can lead to injury of the facial nerve, resulting in weakness or paralysis of the facial muscles. Polycythemia (
B) is an increased number of red blood cells, not typically associated with birth method. Bronchopulmonary dysplasia (
C) is a lung condition primarily seen in premature infants requiring prolonged mechanical ventilation. Hypoglycemia (
D) is low blood sugar levels and can be caused by various factors unrelated to birth method.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the newborn's latch while breastfeeding the newborn. This is the best action as it ensures proper breastfeeding technique, which is crucial for adequate milk transfer and preventing nipple soreness.
Choice B is incorrect as it may decrease milk supply.
Choice C is incorrect as newborns need to feed frequently.
Choice D is incorrect as limiting breastfeeding time can lead to inadequate milk intake.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 4 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 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.