ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
An adolescent client who requests a prescription for birth control.
Question 1 of 5
Which of the following questions should the nurse ask?
Correct Answer: B
Rationale: The correct answer is B: What do you know about contraception? This question is important as it assesses the individual's knowledge on preventing unwanted pregnancies. It helps the nurse tailor education and interventions to the individual's needs.
Choice A assumes coercion, not all relationships involve pressure for sex.
Choice C is subjective and not directly related to contraception.
Choice D is judgmental and may discourage open communication.
Choices E, F, and G are not provided, therefore not relevant.
Extract:
A postpartum client who has a prescription for a rubella immunization.
Question 2 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates understanding of the teaching regarding the need to avoid pregnancy for at least 1 month following the immunization to prevent any potential harm to the fetus.
Choice A is incorrect because breastfeeding is not contraindicated after immunization.
Choice B is incorrect because it provides incorrect information about the immunization schedule.
Choice C is incorrect because joint pain is a common side effect of some vaccines and does not necessarily require immediate reporting.
Extract:
A newborn who has jaundice and a new prescription for phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to close the newborn's eyes before applying eyepatches (
Choice
C). This is crucial to prevent any irritation or discomfort to the newborn's eyes during the application of the eyepatches. Closing the eyes also ensures that the eyepatches are applied correctly and securely.
Choice A is incorrect because turning the newborn every 4 hours is not related to applying eyepatches.
Choice B is incorrect as hydrating lotion is not necessary prior to applying eyepatches.
Choice D is incorrect as providing glucose water after each feeding is not relevant to the situation at hand.
In summary, the correct action of closing the newborn's eyes before applying eyepatches is essential for the safety and comfort of the newborn during the procedure.
Extract:
A newborn who has a prescription for a total serum bilirubin.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to puncture the lateral side of the heel for the procedure. This is because the lateral side of the heel is the recommended site for a heel stick, as it has fewer nerve endings and blood vessels, reducing the risk of injury and pain. Selecting a 21-gauge needle (option
A) is not specific to the procedure and may not be appropriate. Applying an alcohol pad after the procedure (option
B) is not recommended as it can cause unnecessary pain and irritation. Placing a cool cloth at the site before the procedure (option
C) is not necessary and may not be effective for pain relief. Puncturing the lateral side of the heel is the correct and most appropriate action for this procedure.
Extract:
A newborn who was born at 39 weeks of gestation and is 36 hours old.
Question 5 of 5
Which of the following findings should the nurse report to the provider? Select all that apply.
Correct Answer: C,D,F
Rationale: The nurse should report findings that indicate potential issues requiring provider intervention. Coombs test result (
C) is crucial for detecting autoimmune hemolytic anemia. Abnormal sclera color (
D) may indicate liver dysfunction or jaundice. Intake and output (F) are essential for monitoring fluid balance. Glucose level (
A) is important but typically not an urgent concern. Head assessment finding (
B) may be relevant, but it depends on the specific abnormality. Heart rate (E) and mucous membrane assessment (G) are vital but generally do not require immediate provider notification.