ATI RN
ATI RN Maternal Newborn 2023 Questions
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 1 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because chorionic villus sampling is used to detect genetic disorders, not determine the baby's sex (
A). Offering to schedule the procedure immediately without discussing risks or benefits (
C) is not appropriate. The statement about age restriction for amniocentesis (
D) is false and misleading. It's important for the nurse to focus on the purpose of the procedure, which is to identify genetic or congenital disorders in the baby (
B).
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 2 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 3 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: The correct answer is B: Facial palsy. This birth method refers to a forceps delivery, which can cause nerve damage leading to facial palsy. Forceps application during delivery can put pressure on the baby's facial nerves, resulting in temporary or permanent facial paralysis. Polycythemia (
A) is not typically associated with forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition in premature babies, not directly related to forceps delivery. Hypoglycemia (
D) can occur in newborns due to various reasons, but it is not a specific complication of forceps delivery.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 4 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates an understanding of safe positioning for a car seat to protect the baby's airway and prevent slouching. Placing the car seat at a 45-degree angle helps keep the baby's head from falling forward, ensuring proper breathing.
Choice B is incorrect as a car seat challenge test is typically done in the hospital, not before discharge.
Choice C is incorrect because babies should remain rear-facing until at least 2 years old for optimal safety.
Choice D is incorrect because using bulky items like sleep sacks in the car seat can compromise the harness's effectiveness.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Excessive crying. In infants, excessive crying is a common finding indicating pain, discomfort, hunger, or other needs. It is a crucial communication method for infants. Decreased muscle tone (
B) and absent Moro reflex (
C) are abnormal findings that may suggest neurological issues. Diminished deep tendon reflexes (
D) are typically seen in conditions affecting the nervous system. The absence of other choices indicates they are not relevant to the expected findings in this scenario.