ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 1 of 5
Which of the following Questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: A
Rationale: The hands-and-knees position is used to reduce back labor in occipitoposterior positioning, so asking about back labor improvement evaluates effectiveness. Other options aren't specific to this intervention.
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: A
Rationale: Closing the eyes before applying eyepatches protects them from phototherapy light. Turning isn't critical, lotion blocks light, and glucose water isn't indicated.
Extract:
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10.
Question 3 of 5
Using Nägele's Rule, what is the patient's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule: Add 7 days to August 10 (August 17), subtract 3 months (May 17), and add 1 year if crossing years. The correct date is May 17, 2025, assuming the current year aligns with the question context.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis isn't necessary for sex determination; ultrasound is a safer alternative. CVS is earlier, age isn't a restriction, and same-day scheduling isn't appropriate.
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.