ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing a newborn who was born via a forceps-assisted birth.
Question 1 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: C
Rationale: Facial asymmetry can result from forceps pressure causing bruising or nerve injury. Other findings are unrelated to forceps use.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.
Extract:
A nurse on the postpartum unit is caring for four clients.
Question 3 of 5
For which of the following clients should the nurse notify the provider?
Correct Answer: D
Rationale: Absent deep tendon reflexes in a client on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification to prevent respiratory or cardiac complications.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Closing the newborn’s eyes before applying eyepatches protects them from phototherapy light, preventing retinal damage.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 5 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The vastus lateralis muscle in the thigh is the preferred site for IM injections in newborns due to its size and accessibility. Phytonadione (Vitamin K) is administered IM, not subcutaneously, and the deltoid is not used in newborns.