ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is examining the medical record of a client who gave birth vaginally two days ago and is experiencing constipation.
Question 1 of 4
Which of the following conditions should the nurse recognize as a contraindication for the use of a suppository?
Correct Answer: C
Rationale: A third-degree laceration extends to the anal sphincter, making suppository use risky due to potential injury or infection. Other conditions don't contraindicate suppositories.
Extract:
A nurse is preparing to administer metronidazole 2g orally to a client diagnosed with trichomoniasis. The available medication is metronidazole 250 mg tablets.
Question 2 of 4
How many tablets should the nurse administer?
Correct Answer: C
Rationale: Calculation: 2 g = 2000 mg; 2000 mg ÷ 250 mg/tablet = 8 tablets. Rounded to the nearest whole number, the answer is 8.
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in the bassinet, lightly swaddled. The newborn appears jittery with a weak cry when disturbed. The extremities are mottled with acrocyanosis. The respirations are rapid and unlabored.
Question 3 of 4
What action should the nurse take?
Correct Answer: A
Rationale: Monitoring vital signs assesses potential neonatal abstinence syndrome or distress indicated by jitteriness and rapid breathing. Tighter swaddling, oxygen, or immediate notification aren't warranted without further data.
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 4 of 4
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
Exhibit 1: Medical History • History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. • Maternal and neonatal positive urine drug screens for methadone. • Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS). Exhibit 2: Nurses' Notes at 0700hrs • Newborn exhibits a continuous high-pitched cry and has minimal sleep. • Tremors and hyperactive Moro reflex noted. • Increased muscle tone and excessive sucking observed. • Newborn has uncoordinated sucking and swallowing during feeding. • Newborn appears irritable and difficult to console. • Skin mottling and frequent yawning observed. • Sneezing and nasal stuffiness noted. Nurses' Notes at 0900hrs • Newborn continues to exhibit a high-pitched cry and minimal sleep. • Tremors persist, with increased frequency and intensity. • Hyperactive Moro reflex remains evident. • Muscle tone remains increased, with excessive sucking still observed. • Feeding difficulties continue with uncoordinated sucking and swallowing. A nurse is caring for a newborn who is 5 days old in the neonatal intensive care unit (NICU).
Question 5 of 4
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, C, F
Rationale: Swaddling with flexed extremities and a low stimulation environment reduce NAS symptoms; daily weighing monitors nutrition. Naloxone is contraindicated in opioid-dependent newborns, breastfeeding is encouraged with methadone, Ballard screening isn't shift-based, and avoiding eye contact isn't beneficial.