ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is pregnant.
Question 1 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: B
Rationale: The correct answer is B: Previous cervical cerclage. This procedure is done to prevent preterm birth in women with a history of cervical insufficiency. The placement of a cervical cerclage indicates a higher risk for preterm delivery compared to the other options. A: Previous delivery at 37 weeks gestation is not indicative of a higher risk for preterm delivery. C: Previous reactive non-stress test is a normal finding in prenatal care and does not necessarily indicate preterm delivery risk. D: Previous delivery of a newborn weighing 2.5 kg is not a strong predictor of preterm delivery risk.
Extract:
A new parent about findings that require notification of the newborn's provider.
Question 2 of 5
Which of the following newborn clinical manifestations should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Yellowed sclera. This clinical manifestation could indicate jaundice, a common condition in newborns due to the immature liver. It is important for the nurse to include this in teaching as it requires monitoring and potential medical intervention. Stooling after each breastfeeding (
B) is normal in newborns. Intermittent crossing of eyes (
C) is also common as their visual system develops. Voids eight to ten times per day (
D) is a normal urinary output for newborns.
Extract:
A newborn who was born via a forceps-assisted birth.
Question 3 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: D
Rationale: The correct answer is D: Facial asymmetry. Forceps during delivery can cause pressure and trauma to the baby's face, leading to facial asymmetry. The forceps compress one side of the face more than the other, resulting in an uneven appearance. Depressed anterior fontanel (
A) is not typically associated with forceps delivery. Uneven gluteal skinfolds (
B) and epicanthal folds (
C) are not specific indicators of forceps injury. In summary, facial asymmetry is a common finding in babies delivered with forceps due to the pressure exerted on the face during delivery.
Extract:
A full-term newborn upon admission to the nursery.
Question 4 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down syndrome and requires further evaluation. B: Rust-stained urine could indicate hematuria, but it does not require immediate provider notification. C: Transient circumoral cyanosis is common in infants and usually resolves on its own. D: Subconjunctival hemorrhage is usually benign and does not typically necessitate immediate provider notification.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: This medication prevents seizures. This is the appropriate response because it directly relates to the action of the medication, which is likely an antiepileptic drug. Seizure prevention is a common indication for such medications in various clinical settings.
Choices A, C, and D are incorrect because they do not align with the typical action of a medication used to prevent seizures.
Choice A is more related to medications that increase heart function, choice C to medications affecting fetal heart rate, and choice D to medications improving blood flow. It is important for a nurse to provide accurate and relevant information to ensure patient safety and optimal outcomes.