ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 1 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: The correct answer is B: Facial palsy. This birth method refers to a forceps delivery, which can cause nerve damage leading to facial palsy. Forceps application during delivery can put pressure on the baby's facial nerves, resulting in temporary or permanent facial paralysis. Polycythemia (
A) is not typically associated with forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition in premature babies, not directly related to forceps delivery. Hypoglycemia (
D) can occur in newborns due to various reasons, but it is not a specific complication of forceps delivery.
Question 2 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: The correct answer is B: Facial palsy. This birth method refers to a forceps delivery, which can cause nerve damage leading to facial palsy. Forceps application during delivery can put pressure on the baby's facial nerves, resulting in temporary or permanent facial paralysis. Polycythemia (
A) is not typically associated with forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition in premature babies, not directly related to forceps delivery. Hypoglycemia (
D) can occur in newborns due to various reasons, but it is not a specific complication of forceps delivery.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Postpartum hemorrhage. This is because postpartum hemorrhage is a common complication after childbirth, especially in clients who have risk factors such as multiple pregnancies, prolonged labor, or history of hemorrhage. It is important for the nurse to be aware of this risk and monitor the client closely.
Choices A, B, and D are conditions related to pregnancy complications but are not specifically mentioned in the question as risks for the client.
Therefore, they are incorrect choices.
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 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 caring for a client immediately following the delivery of a stillborn fetus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.