ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Excessive crying. In infants, excessive crying is a common finding indicating pain, discomfort, hunger, or other needs. It is a crucial communication method for infants. Decreased muscle tone (
B) and absent Moro reflex (
C) are abnormal findings that may suggest neurological issues. Diminished deep tendon reflexes (
D) are typically seen in conditions affecting the nervous system. The absence of other choices indicates they are not relevant to the expected findings in this scenario.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because feeding the baby at least every 3 hours helps maintain adequate nutrition and hydration, supporting healthy growth and development.
Choice B limits feeding time, potentially leading to insufficient intake.
Choice C is incorrect as newborns should not be given water as it can interfere with breastfeeding and lead to water intoxication.
Choice D is incorrect as newborns should have at least 6-8 wet diapers a day to ensure proper hydration and kidney function.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to provide the client with a cool sitz bath (
Choice
C). This helps reduce perineal swelling and discomfort postpartum. Administering methylergonovine (
Choice
A) is used to manage postpartum hemorrhage. Applying povidone-iodine (
Choice
B) can cause skin irritation. Applying a warm compress (
Choice
D) may increase perineal swelling.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 4 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Maintain a healthy weight. This is because maintaining a healthy weight is a fundamental nonpharmacological treatment that can positively impact various health conditions. Excess weight can contribute to a range of health issues, including cardiovascular disease, diabetes, and joint problems. By suggesting maintaining a healthy weight, the nurse is promoting overall well-being and reducing the risk of developing these health conditions.
Other choices are incorrect because:
A: Taking daily hot baths may provide temporary relief for certain conditions but is not a comprehensive treatment.
B: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general nonpharmacological treatment.
C: Drinking herbal tea two times daily may have some health benefits, but it is not a primary nonpharmacological treatment for a specific condition.
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 allows the client to have mementos of their baby and aids in the grieving process. Providing photos can help the client in acknowledging the reality of the loss and facilitate closure.
A: Instructing the client that an autopsy should be performed within 24 hr is not within the nurse's scope of practice and may not be culturally or emotionally appropriate.
B: Informing the client that the law requires them to name the fetus is inaccurate and insensitive.
D: Limiting the amount of time the fetus is in the client's room may not align with the client's emotional needs and can be perceived as callous.