ATI RN Maternal Newborn Updated 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C because obtaining an imprint of the infant's feet prior to taking him to the nursery is crucial for proper identification and ensuring the right baby goes to the correct parent. This step helps prevent mix-ups and enhances patient safety.


Choice A is incorrect because replacing the infant's identification band after his name has been recorded may lead to errors in identification.


Choice B is incorrect as checking the newborn's identification using the crib card alone may not be sufficient for accurate identification.


Choice D is incorrect as requiring visitors to wear an identification band does not directly address the issue of infant identification and safety.

In summary, choice C is the most appropriate as it directly contributes to proper infant identification and reduces the risk of errors, making it the best option for inclusion in the policy.

Correct Answer: D

Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the medication and has given their permission. It upholds the principle of autonomy and protects the client's right to make informed decisions about their healthcare. Placing the client in a semi-Fowler's position (
A) or allowing medication to reach room temperature (
B) are not directly related to ensuring informed consent. Instructing the client to avoid urinary elimination (
C) is unnecessary and could be harmful.

Correct Answer: A

Rationale: The correct answer is A because it provides important information about the expected post-operative outcome related to wound healing. Yellow exudate is a normal part of the healing process, indicating the presence of white blood cells and tissue debris. This knowledge helps the caregiver differentiate between normal and abnormal wound healing.

Choices B, C, and D are incorrect because they do not provide relevant or accurate information related to circumcision care.
Choice B refers to a potential sign of infection or poor circulation, not a routine post-circumcision finding.
Choice C inaccurately states the timing of Plastibell removal, which typically occurs after a few days, not 4 hours.
Choice D is unrelated to circumcision care and may cause discomfort if the diaper is too tight.

Correct Answer: D

Rationale: The correct answer is D: Painless, vaginal bleeding. This finding is indicative of placenta previa, a condition where the placenta partially or completely covers the cervix, leading to painless vaginal bleeding. Uterine hypertonicity (
A) suggests uterine hyperstimulation, not typically associated with placenta previa. Persistent headache (
B) is more commonly seen in conditions like preeclampsia. A firm, rigid abdomen (
C) is characteristic of uterine rupture, not placenta previa. In summary, painless vaginal bleeding is a key sign of placenta previa, distinguishing it from the other options.

Correct Answer: A

Rationale: The correct answer is A: Collect hemoglobin and hematocrit levels. This is the first action the nurse should take to assess the client's oxygen-carrying capacity and hydration status. It provides crucial data for determining the client's overall health status. Inserting an indwelling urinary catheter (
B) is not the priority unless indicated. Administering oxygen via face mask (
C) is important, but assessing the client's hemoglobin and hematocrit levels takes precedence. Preparing the client to receive a plasma expander (
D) should only be done after assessing the client's current status.