ATI RN
ATI RN Maternal Newborn 2023 Exam 4 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: 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 discussing fertility treatment options with a client and their partner.
Question 2 of 5
Which of the following non-pharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because weight management plays a crucial role in overall health, including reducing the risk of various health conditions. Being overweight can contribute to a range of health issues, such as cardiovascular diseases and diabetes. The nurse should suggest maintaining a healthy weight to promote overall well-being.
Other choices are incorrect because:
A: Drinking herbal tea may have some benefits, but it is not a standard non-pharmacological treatment for a specific condition.
B: Taking daily hot baths may provide relaxation but is not a targeted treatment for any particular health issue.
D: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general non-pharmacological treatment suggestion.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 3 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel (
A) helps dilate the blood vessels for easier puncture. Next, cleaning the area with an antiseptic (
B) reduces the risk of infection. Puncturing the outer aspect of the newborn's heel (
C) allows for blood collection. Collecting the blood specimen (
D) is the next step to obtain the sample. Finally, applying pressure to the site with a dry gauze pad (E) helps to stop bleeding and promote healing.
Choices F and G are not applicable in this context.
Extract:
A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Restrict daily oral fluid intake. In a scenario where fluid restriction is necessary, the nurse should plan to limit the patient's oral fluid intake to help manage a specific condition such as heart failure or kidney disease. This action helps prevent fluid overload, which can lead to complications like edema and worsening of the patient's condition. Assessing blood pressure (
B) is important but not the most relevant action in this context. Administering an IV bolus of lactated Ringer's (
A) is not appropriate without a specific indication. Obtaining a prescription for misoprostol (
D) is not relevant to fluid management.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a cool sitz bath. This action helps reduce perineal swelling and discomfort postpartum. Cooling the area constricts blood vessels, decreases inflammation, and provides relief.
Choice B is incorrect as methylergonovine is used to prevent or treat postpartum hemorrhage, not for perineal care.
Choice C is incorrect because warm compresses can increase swelling and discomfort.
Choice D is incorrect as povidone-iodine can be too harsh and delay healing.