ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A newborn who was born at 39 weeks of gestation and is 36 hours old.
Question 1 of 5
Which of the following findings should the nurse report to the provider? Select all that apply.
Correct Answer: C,D,F
Rationale: The nurse should report findings that indicate potential issues requiring provider intervention. Coombs test result (
C) is crucial for detecting autoimmune hemolytic anemia. Abnormal sclera color (
D) may indicate liver dysfunction or jaundice. Intake and output (F) are essential for monitoring fluid balance. Glucose level (
A) is important but typically not an urgent concern. Head assessment finding (
B) may be relevant, but it depends on the specific abnormality. Heart rate (E) and mucous membrane assessment (G) are vital but generally do not require immediate provider notification.
Extract:
A full-term newborn upon admission to the nursery.
Question 2 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down syndrome and requires further evaluation. B: Rust-stained urine could indicate hematuria, but it does not require immediate provider notification. C: Transient circumoral cyanosis is common in infants and usually resolves on its own. D: Subconjunctival hemorrhage is usually benign and does not typically necessitate immediate provider notification.
Extract:
A client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 3 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 tablets per dose. This is because when rounding to the nearest tenth, 0.5 falls midway between 0 and 1. In this case, 0.5 is closer to 0 than to 1, so we round down to 0.5. The other choices are incorrect as follows: A: 0 -
Too low, as 0.5 is closer to 1 than to 0. B-G: Any whole number or fraction greater than 0.5 is incorrect because rounding 0.5 down to the nearest tenth results in 0.5 tablets per dose.
Extract:
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: C
Rationale: The correct action for the nurse to take is to close the newborn's eyes before applying eyepatches (
Choice
C). This is crucial to prevent any irritation or discomfort to the newborn's eyes during the application of the eyepatches. Closing the eyes also ensures that the eyepatches are applied correctly and securely.
Choice A is incorrect because turning the newborn every 4 hours is not related to applying eyepatches.
Choice B is incorrect as hydrating lotion is not necessary prior to applying eyepatches.
Choice D is incorrect as providing glucose water after each feeding is not relevant to the situation at hand.
In summary, the correct action of closing the newborn's eyes before applying eyepatches is essential for the safety and comfort of the newborn during the procedure.
Extract:
A postpartum client who has a prescription for a rubella immunization.
Question 5 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates understanding of the teaching regarding the need to avoid pregnancy for at least 1 month following the immunization to prevent any potential harm to the fetus.
Choice A is incorrect because breastfeeding is not contraindicated after immunization.
Choice B is incorrect because it provides incorrect information about the immunization schedule.
Choice C is incorrect because joint pain is a common side effect of some vaccines and does not necessarily require immediate reporting.