ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 1 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 2 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is appropriate for individuals experiencing nausea because cold foods are less likely to trigger nausea compared to hot or warm foods. Cold foods can help soothe the stomach and reduce feelings of nausea. Brushing teeth after each meal (choice
B) is not relevant to addressing nausea. Drinking plenty of water when feeling nauseated (choice
C) can sometimes exacerbate nausea. Eating three large meals per day (choice
D) can overload the digestive system and worsen nausea. It's important to choose light, easily digestible foods at cooler temperatures when experiencing nausea.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Offer your baby a pacifier during naps if desired. This is the correct statement because pacifiers have been shown to reduce the risk of Sudden Infant Death Syndrome (SIDS) by providing a safe sucking mechanism that can help babies self-soothe. Providing a pacifier during naps can also help babies fall asleep faster and improve sleep quality.
Choice A is incorrect because applying triple antibiotic ointment on the umbilical cord can increase the risk of infection and delay the natural healing process.
Choice C is incorrect because giving a baby an immersion bath daily can strip their skin of natural oils and lead to dryness and irritation.
Choice D is incorrect because swaddling a baby with their legs in an extended position can increase the risk of hip dysplasia.
In summary, the correct statement promotes safe sleep practices and infant comfort, while the incorrect statements may pose risks to the baby's health and well-being.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 4 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: A
Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 5 of 5
Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?
Correct Answer: C
Rationale: The correct answer is C: "Do you notice increased cramping with breastfeeding?" This question is essential to determine if a PRN pain medication is needed as increased cramping during breastfeeding can indicate discomfort or pain, thus necessitating the use of pain medication. The other options are unrelated to pain assessment or pain management. Option A focuses on swelling, which does not directly relate to pain. Option B pertains to incision leakage, which is more related to wound care rather than pain assessment. Option D is about passing gas, which is not a relevant question when assessing the need for pain medication.
Therefore, option C is the most appropriate question to ask in this scenario to evaluate the need for PRN pain medication.