ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a newborn who was born postterm.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Excessive crying. Excessive crying is a common finding in infants with colic, which is a self-limiting condition characterized by prolonged and inconsolable crying. Diminished deep tendon reflexes (
A), absent Moro reflex (
B), and decreased muscle tone (
D) are not typically associated with colic. It is important for the nurse to recognize these findings to differentiate them from colic and provide appropriate care.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hours ago.
Question 3 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, D
Rationale: Vacuum-assisted delivery (
A) can cause trauma leading to increased bleeding, and labor induction with oxytocin (
D) can lead to uterine atony, both increasing hemorrhage risk.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This action is important in preventing infection post-surgery. Antibiotics help to target a wide range of potential pathogens that could cause infection, reducing the risk of complications. Monitoring the rectal temperature every 4 hours (
B) may be necessary but does not directly address infection prevention. Cleaning the site with povidone-iodine (
A) is important for cleanliness but does not prevent infection as effectively as antibiotics. Preparing for surgical closure after 72 hours (
C) is a timing issue and does not directly impact infection prevention.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to turn the client to a side-lying position (
Choice
C). This is crucial for preventing aspiration in unconscious or postoperative clients. Side-lying position helps maintain airway patency and prevents the tongue from obstructing the airway. It also promotes optimal lung expansion and ventilation. Applying oxygen (
Choice
A) may be necessary but does not address the immediate risk of aspiration. Massaging the fundus (
Choice
B) is typically done postpartum to prevent hemorrhage. Assisting the client to empty their bladder (
Choice
D) is important for comfort but does not address the immediate risk of airway compromise.