ATI RN Maternal Newborn 2023 III | Nurselytic

Questions 67

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ATI RN Maternal Newborn 2023 III 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: A

Rationale: Facial asymmetry can result from forceps pressure, a specific injury unlike caput succedaneum or cephalohematoma linked more to vacuum extraction.

Question 2 of 5

Which of the following findings should the nurse identify as an injury caused by the forceps?

Correct Answer: A

Rationale: Facial asymmetry can result from forceps pressure, a specific injury unlike caput succedaneum or cephalohematoma linked more to vacuum extraction.

Extract:

A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.


Question 3 of 5

Complete the diagram:

Action to Take

Neonatal hypoglycemia
Neonatal sepsis
Neonatal abstinence syndrome
Respiratory distress syndrome;

Potential Condition

10% dextrose IV
Monitor glucose every 30 min
Supplemental oxygen
Antibiotics
Neutral thermal environment;

Parameter to Monitor

Glucose
Glucose
Oxygen
RR
HR

Correct Answer: A

Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.

Extract:

A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns.


Question 4 of 5

What should the nurse include in the policy?

Correct Answer: D

Rationale: Obtaining an imprint of the infant's feet prior to taking him to the nursery is a reliable identification method. Footprints, along with the mother's fingerprints, are taken soon after birth and used throughout the hospital stay, unlike crib cards which can be misplaced or identification bands replaced later.

Extract:

A nurse is administering a 500 mL bolus of lactated Ringer's for a client who is in labor and has a prescription for spinal anesthesia.


Question 5 of 5

Which of the following findings indicates that the IV bolus was effective?

Correct Answer: D

Rationale: A blood pressure of 110/70 mm Hg indicates stable hemodynamics, the primary goal of the IV bolus to prevent hypotension from spinal anesthesia.

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