ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic.
Question 1 of 5
Which of the following findings should the nurse monitor as a potential adverse effect of the medication?
Correct Answer: C
Rationale: Hypotension is a known side effect of epidural analgesia due to sympathetic blockade.
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to initiate seizure precautions (
C) because the infant is at risk for seizures. Seizure precautions include ensuring a safe environment, such as removing potential hazards and padding sharp corners. Monitoring blood glucose every hour (
B) is not indicated unless there is a specific medical condition requiring it. Providing a stimulating environment (
A) may not be appropriate during a seizure risk. Placing the infant on his back with legs extended (
D) is a basic infant positioning but does not address the seizure risk directly.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 3 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to choose option A, which is to document the guardian's refusal of the medication. This is important for legal and ethical reasons as it ensures that the refusal is properly recorded in the patient's medical records. By documenting the refusal, the nurse is fulfilling their duty to maintain accurate and comprehensive documentation. It also allows for continuity of care and communication among healthcare providers. Options B, C, and D are incorrect as they do not address the immediate need to document the refusal. Informing the guardian about giving the medication after discharge does not address the current refusal, reporting to social services may not be necessary at this stage, and involving the ethics committee is premature without proper documentation.
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: The correct answer is B, to close the newborn's eyes before applying eyepatches. This is because closing the newborn's eyes before applying eyepatches helps to protect the eyes from irritation and ensures proper placement of the patches. Option A is incorrect as glucose water is not recommended for newborns after each feeding. Option C is incorrect as hydrating lotion may interfere with treatment or create a barrier for proper adhesion of medical devices. Option D is incorrect as turning the newborn every hour is not necessary and may disrupt their rest and sleep cycles.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should assist the client to the bathroom first because it addresses the immediate need for toileting, ensuring comfort and preventing potential accidents. This action promotes the client's autonomy and dignity. Inserting a urinary catheter (
Choice
A) should not be the first step as it's an invasive procedure with potential complications. Offering a sitz bath (
Choice
B) and pouring warm water over the perineum (
Choice
D) are helpful for comfort but do not address the immediate need for toileting.