ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 1 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of your baby's penis appears dark red. This is important as it could indicate a complication like infection or inadequate blood flow. A: Yellow exudate is not a normal finding and should be reported immediately. C: The Plastibell is typically removed after a few days, not 4 hours. D: A snug diaper can cause pressure on the circumcision site, leading to complications.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 2 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 3 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: The correct answer is D: Fundus firm to palpation. This indicates that the uterus is contracting well, which is important for preventing postpartum hemorrhage. A firm fundus at this time indicates good involution of the uterus.
Choices A, B, and C are indicative of potential issues that would require further assessment and intervention.
Choice A suggests hypotension, B may indicate a urinary tract infection, and C suggests excessive bleeding.
Choice E indicates a higher-than-expected fundal height, which could indicate uterine atony.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and pain in the flank area. Flank pain is a common symptom due to the infection in the renal pelvis and kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) is a general sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more associated with gastrointestinal problems.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen (
Choice
A) to facilitate the delivery of the shoulders during a shoulder dystocia. This maneuver helps to create more space in the birth canal for the baby's shoulder to pass through. Applying pressure to the fundus (
Choice
B) could potentially cause harm to the baby. Pressing firmly on the suprapubic area (
Choice
C) is not an appropriate action during shoulder dystocia. Moving the client onto their hands and knees (
Choice
D) could worsen the situation by altering the position of the baby. It is crucial to choose the action that is evidence-based and designed to resolve the specific issue at hand effectively.