ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 1 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
Exhibit 1: Medical History • History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. • Maternal and neonatal positive urine drug screens for methadone. • Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS). Exhibit 2: Nurses' Notes at 0700hrs • Newborn exhibits a continuous high-pitched cry and has minimal sleep. • Tremors and hyperactive Moro reflex noted. • Increased muscle tone and excessive sucking observed. • Newborn has uncoordinated sucking and swallowing during feeding. • Newborn appears irritable and difficult to console. • Skin mottling and frequent yawning observed. • Sneezing and nasal stuffiness noted. Nurses' Notes at 0900hrs • Newborn continues to exhibit a high-pitched cry and minimal sleep. • Tremors persist, with increased frequency and intensity. • Hyperactive Moro reflex remains evident. • Muscle tone remains increased, with excessive sucking still observed. • Feeding difficulties continue with uncoordinated sucking and swallowing. A nurse is caring for a newborn who is 5 days old in the neonatal intensive care unit (NICU).
Question 2 of 5
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, C, F
Rationale: Swaddling with flexed extremities and a low stimulation environment reduce NAS symptoms; daily weighing monitors nutrition. Naloxone is contraindicated in opioid-dependent newborns, breastfeeding is encouraged with methadone, Ballard screening isn't shift-based, and avoiding eye contact isn't beneficial.
Extract:
A nurse is educating the parents of a newborn about the Plastibell circumcision technique.
Question 3 of 5
Which piece of information should the nurse include?
Correct Answer: C
Rationale: Yellow exudate, which is a normal part of the healing process, will form at the surgical site within 24 hours. This is a normal part of the healing process and should not be mistaken for pus, which would indicate an infection. Ensuring the diaper is snug is general care, a dark red tip isn't a specific concern, and the Plastibell falls off naturally after about a week, not 4 hours.
Extract:
A nurse is providing discharge instructions to a patient following tubal ligation.
Question 4 of 5
Which statement by the patient indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ovulation will indeed remain the same after a tubal ligation. The procedure blocks or seals the fallopian tubes, preventing egg transport, but the ovaries continue to function normally, producing hormones and releasing eggs. Premenstrual tension persists, menstrual periods aren't affected in length, and hormone replacement isn't required.
Extract:
A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.
Question 5 of 5
What action should the nurse take?
Correct Answer: B
Rationale: Misoprostol is a medication that can be used to treat uterine atony by promoting uterine contractions to reduce bleeding. A Kleihauer-Betke test assesses fetal-maternal hemorrhage, not immediate bleeding management; betamethasone is for fetal lung maturity, not atony; and avoiding vaginal exams doesn't address the bleeding.