ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A full-term newborn upon admission to the nursery.
Question 1 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 newborn immediately following birth.
Question 2 of 5
How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.
| Finding | Unrelated to diagnosis | Indication client's condition is improving | Indication client's condition is worsening |
|---|---|---|---|
| Color: Consistent with genetic background - Unrelated | |||
| Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving | |||
| Muscle tone: flaccid - Worsening | |||
| Respiration effort: good cry - Improving | |||
| Heart rate 140/min - Improving |
Correct Answer: A,B,C,D,E
Rationale:
The correct answer is A,B,C,D,E.
A: Color consistent with genetic background is unrelated to the diagnosis as it does not provide any direct information about the client's condition.
B: Axillary temperature 36.3°C, Reflex irritability: cry are indications that the client's condition is improving.
C: Muscle tone flaccid is an indication that the client's condition is worsening.
D: Respiration effort: good cry is an indication that the client's condition is improving.
E: Heart rate 140/min is an indication that the client's condition is improving.
Extract:
A client who is in labor and experiences abruptio placenta.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Uterine tenderness. In the context of pregnancy, uterine tenderness may indicate a potential issue such as uterine infection or preterm labor. It is important for the nurse to assess this finding further to ensure the safety of the mother and baby. Hypertension (choice
A) may indicate preeclampsia, fetal tachycardia (choice
C) may suggest fetal distress, and leukorrhea (choice
D) is a common finding in pregnancy.
Choices E, F, and G are not provided.
Extract:
A client about the purpose of her upcoming indirect Coombs' test.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct statement to include in the teaching is B: "This test will detect the presence of Rh-positive antibodies in your blood." This is the correct answer because it pertains to the purpose of the test, which is to identify Rh incompatibility between the mother and fetus. Detecting Rh-positive antibodies is crucial to prevent hemolytic disease of the newborn. The other options are incorrect because A refers to an amniotic fluid index test, C relates to a test for gestational diabetes, and D describes a Doppler ultrasound for evaluating fetal blood flow.
Therefore, B is the most relevant statement for the teaching regarding Rh testing during pregnancy.
Extract:
A client who has preeclampsia.
Question 5 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: Pad the side rails of the client's bed. This is the priority because it helps prevent injury during a seizure by providing a soft surface if the client hits the rails. Dimming the lights (
A) and ensuring the call button is within reach (
B) are important but not the priority. Suction equipment (
D) is important for respiratory support post-seizure but not the priority during seizure precautions.