ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 1 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important for assessing the client's overall dietary intake, as protein is a crucial macronutrient for health. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs. Other choices are incorrect as they do not directly relate to assessing dietary intake.
Choice A focuses only on meat consumption, which is limited in scope.
Choice C is specific to Vitamin C, not overall dietary intake.
Choice D is about shellfish, which is too narrow. By asking about protein intake, the nurse can gather valuable information to assess the client's dietary habits comprehensively.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 3 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.
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: B
Rationale: The correct answer is B: Excessive crying. In infants, excessive crying can be a sign of discomfort or illness, indicating the need for further assessment by the nurse. Absent Moro reflex (
A) is abnormal and indicates neurological issues. Diminished deep tendon reflexes (
C) and decreased muscle tone (
D) can also be concerning neurological findings. However, excessive crying is a more immediate and urgent concern that requires prompt evaluation and intervention.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Nails extending over tips of fingers. This finding indicates clubbing, a condition associated with chronic hypoxia. Clubbing is characterized by the enlargement and flattening of the fingertips, causing the nails to extend over the fingertips. This can be seen in conditions such as chronic respiratory diseases or heart defects, where there is long-term oxygen deprivation. Large deposits of subcutaneous fat (
A) are not typically related to clubbing. Pale, translucent skin (
C) may suggest anemia or dehydration but is not directly related to clubbing. A thin covering of fine hair on shoulders and back (
D) is known as lanugo, which is commonly seen in newborns or individuals with eating disorders, and is not associated with clubbing.