ATI RN Maternal Newborn 2023 | Nurselytic

Questions 61

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ATI RN Maternal Newborn 2023 Questions

Extract:

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.


Question 1 of 5

Which of the following foods should the nurse recommend?

Correct Answer: D

Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.

Extract:

A nurse is assessing a newborn following a forceps-assisted birth.


Question 2 of 5

Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

Correct Answer: B

Rationale: The correct answer is B: Facial palsy. This birth method refers to a forceps delivery, which can cause nerve damage leading to facial palsy. Forceps application during delivery can put pressure on the baby's facial nerves, resulting in temporary or permanent facial paralysis. Polycythemia (
A) is not typically associated with forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition in premature babies, not directly related to forceps delivery. Hypoglycemia (
D) can occur in newborns due to various reasons, but it is not a specific complication of forceps delivery.

Extract:

A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.


Question 3 of 5

Which of the following statements by a parent indicates an understanding of the teaching?

Correct Answer: A

Rationale: The correct answer is A: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates an understanding of safe positioning for a car seat to protect the baby's airway and prevent slouching. Placing the car seat at a 45-degree angle helps keep the baby's head from falling forward, ensuring proper breathing.
Choice B is incorrect as a car seat challenge test is typically done in the hospital, not before discharge.
Choice C is incorrect because babies should remain rear-facing until at least 2 years old for optimal safety.
Choice D is incorrect because using bulky items like sleep sacks in the car seat can compromise the harness's effectiveness.

Extract:

A nurse is assessing a newborn who has neonatal abstinence syndrome.


Question 4 of 5

Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: The correct answer is A: Excessive crying. In infants, excessive crying is a common finding indicating pain, discomfort, hunger, or other needs. It is a crucial communication method for infants. Decreased muscle tone (
B) and absent Moro reflex (
C) are abnormal findings that may suggest neurological issues. Diminished deep tendon reflexes (
D) are typically seen in conditions affecting the nervous system. The absence of other choices indicates they are not relevant to the expected findings in this scenario.

Extract:

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Close the newborn's eyes before applying eyepatches. This is important to prevent any irritation or discomfort to the newborn when applying eyepatches. Closing the eyes ensures that the patches adhere properly and do not cause any harm. Providing glucose water (
A) is unnecessary and not recommended for newborns. Turning the newborn every 4 hours (
B) is a good practice for preventing pressure ulcers in older patients, not typically needed for newborns. Applying hydrating lotion (
D) prior to treatment may interfere with the effectiveness of the treatment and is not a recommended practice for newborn care.

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