ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor.
Question 1 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: The correct answer is B. An urge to have a bowel movement during contractions should prompt the nurse to reassess the client because it could indicate the need to push, which could lead to premature delivery. This finding can signal the need for further evaluation to prevent complications. Intense contractions lasting 45 to 60 seconds (
A) are normal during labor. A sense of excitement and warm, flushed skin (
C) can be a normal response to the labor process. Progressive sacral discomfort during contractions (
D) is common due to pressure on the sacrum during labor.
Extract:
A client who reports methadone use during pregnancy.
Question 2 of 5
The nurse should expect the newborn to exhibit which of the following manifestations?
Correct Answer: A
Rationale: The correct answer is A: Poor feeding. Newborns may exhibit poor feeding due to various reasons such as immature sucking reflex, inadequate milk production, or other health issues. This is a common manifestation that nurses should expect and address promptly to ensure the newborn's well-being. Weak cry (
B) and absent Moro reflex (
C) are concerning signs that may indicate neurological or developmental issues, but they are not typical manifestations expected in all newborns. Respiratory rate of 30/min (
D) is within the normal range for newborns, so it is not a significant concern unless accompanied by other respiratory distress symptoms.
Extract:
A newborn who is 2 hr old.
Question 3 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct indications of hypoglycemia are jitteriness (
B), hypotonia (
D), and temperature instability (E). Jitteriness is a common sign of low blood sugar levels. Hypotonia refers to decreased muscle tone, often seen in infants with hypoglycemia. Temperature instability can occur due to the body's inability to regulate temperature when glucose levels are low. Abdominal distention (
A) and acrocyanosis (
C) are not typical signs of hypoglycemia and are more likely associated with other conditions.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 4 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A: The client urinates 30 mL/hr. This finding indicates effective voiding as it shows the client is producing an adequate amount of urine, which is a sign of proper kidney function and bladder emptying. 30 mL/hr is within the normal range of urine output (0.5-1 mL/kg/hr).
Choices B, C, and D are incorrect because not feeling the urge to urinate, the uterine fundus position, and a distended bladder do not directly reflect the client's ability to void effectively.
Extract:
A new parent about findings that require notification of the newborn's provider.
Question 5 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.