ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 1 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: C
Rationale:
Correct Answer: C - Oxygen saturation of 89%
Rationale: A newborn's oxygen saturation should ideally be above 95%. A level of 89% indicates hypoxemia, which can lead to serious complications like brain damage. Monitoring oxygen saturation is crucial in assessing the newborn's respiratory status.
Summary of other choices:
A: Apneic episode less than 15 seconds - Can be a normal finding in newborns and may not necessarily indicate a decline in status.
B: Fine crackles - Can be a common finding in newborns and may not directly indicate a decline in status.
D: Nasal flaring - Can be a sign of respiratory distress but may not always indicate a decline in status.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 2 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 3 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. Facial palsy is a common complication of the use of forceps during delivery. This occurs due to pressure on the facial nerve during the delivery process. Polycythemia (
A) is not typically associated with the birth method. Bronchopulmonary dysplasia (
C) is a lung disease that affects premature infants and is not directly related to the birth method. Hypoglycemia (
D) can occur in infants due to various reasons, but it is not specifically a complication of the birth method.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of your baby's penis appears dark red. This is important as it could indicate a complication like infection or inadequate blood flow. A: Yellow exudate is not a normal finding and should be reported immediately. C: The Plastibell is typically removed after a few days, not 4 hours. D: A snug diaper can cause pressure on the circumcision site, leading to complications.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take is turning the client to a side-lying position (
Choice
B). This is essential for preventing aspiration in unconscious or postoperative clients. Turning the client helps maintain airway patency, promotes lung expansion, and prevents complications such as pressure ulcers. Massaging the fundus (
Choice
A) is specific to postpartum care. Applying oxygen (
Choice
C) is not indicated without assessing the client's oxygenation status. Assisting the client to empty their bladder (
Choice
D) is important but not the priority in this scenario.