ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 1 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: The correct answer is B: Third-degree perineal laceration. This is a contraindication to using a suppository because the insertion of a suppository may cause further trauma or discomfort to the area, delaying the healing process and increasing the risk of infection. Vaginal candidiasis (choice
A) is not a contraindication as the suppository can actually be used to treat this condition. Abdominal distention (choice
C) and afterpains (choice
D) are not direct contraindications to using a suppository and can be managed separately.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 2 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 providing discharge instructions to a client who is breastfeeding her newborn.
Question 3 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 assessing a newborn who has neonatal abstinence syndrome.
Question 4 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 assessing a full-term newborn upon admission to the nursery.
Question 5 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.