ATI RN
ATI RN Maternal Newborn 2023 Retake 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: C
Rationale: Asking about daily protein intake is key for a vegan client, as protein sources are plant-based and critical in pregnancy. Vitamin C isn't the primary concern, meat and shellfish questions are irrelevant for a vegan.
Extract:
A nurse is educating a client who follows a vegan diet and wants to increase their vitamin B intake.
Question 2 of 5
Which food should the nurse suggest?
Correct Answer: D
Rationale: Fortified soy milk is a reliable source of vitamin B12 for vegans, unlike citrus fruits (vitamin
C), carrots (vitamin
A), or brown rice (other B vitamins but not B12).
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 3 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.
Extract:
A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord.
Question 4 of 5
What clinical findings should the nurse anticipate?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck with a nuchal cord. Other findings aren't associated with this condition.
Extract:
Exhibit 1: Medical History • History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. • Maternal and neonatal positive urine drug screens for methadone. • Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS). Exhibit 2: Nurses' Notes at 0700hrs • Newborn exhibits a continuous high-pitched cry and has minimal sleep. • Tremors and hyperactive Moro reflex noted. • Increased muscle tone and excessive sucking observed. • Newborn has uncoordinated sucking and swallowing during feeding. • Newborn appears irritable and difficult to console. • Skin mottling and frequent yawning observed. • Sneezing and nasal stuffiness noted. Nurses' Notes at 0900hrs • Newborn continues to exhibit a high-pitched cry and minimal sleep. • Tremors persist, with increased frequency and intensity. • Hyperactive Moro reflex remains evident. • Muscle tone remains increased, with excessive sucking still observed. • Feeding difficulties continue with uncoordinated sucking and swallowing. A nurse is caring for a newborn who is 5 days old in the neonatal intensive care unit (NICU).
Question 5 of 5
Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: A, C, F
Rationale: Swaddling with flexed extremities and a low stimulation environment reduce NAS symptoms; daily weighing monitors nutrition. Naloxone is contraindicated in opioid-dependent newborns, breastfeeding is encouraged with methadone, Ballard screening isn't shift-based, and avoiding eye contact isn't beneficial.