ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 1 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Answer A is correct as it demonstrates an understanding of the teaching regarding proper positioning of a car seat for an infant. Placing the car seat at a 45-degree angle is important to ensure the baby's airway remains open and prevents slumping, reducing the risk of suffocation. This statement shows awareness of the safety guidelines for infant car seat usage.
Choice B is incorrect as a car seat challenge test is usually performed in the hospital and not before discharge by parents.
Choice C is incorrect as it is unsafe to turn a baby's car seat to face forward at 1 year old; it is recommended to keep the seat rear-facing for as long as possible for optimal safety.
Choice D is incorrect as using a sleep sack in the car seat can interfere with the harness system and compromise the baby's safety in case of a crash.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Verify that informed consent is obtained prior to administration. This is essential to ensure the client's autonomy and understanding of the treatment. Informed consent is a legal and ethical requirement in healthcare.
A: Allowing medication to reach room temperature is not typically necessary for administration and is not a critical action compared to obtaining informed consent.
C: Placing the client in a semi-Fowler's position after administration is not a standard procedure for most medications and does not directly relate to ensuring the client's understanding and consent.
D: Instructing the client to avoid urinary elimination is not relevant to medication administration and could potentially harm the client if followed.
In summary, option B is the correct choice as it directly pertains to ensuring patient safety and rights during the administration of medication.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential in the plan of care to treat a suspected infection. Antibiotics can target a wide range of bacteria, covering potential pathogens until specific cultures can identify the causative organism. Cleansing the site with povidone-iodine (
B) is important for local hygiene but does not address systemic infection. Monitoring rectal temperature (
C) is a good assessment measure but does not actively treat infection. Preparing for surgical closure after 72 hr (
D) may be necessary but does not address the immediate need to manage infection.
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: Answer A is correct as it demonstrates an understanding of the teaching regarding proper positioning of a car seat for an infant. Placing the car seat at a 45-degree angle is important to ensure the baby's airway remains open and prevents slumping, reducing the risk of suffocation. This statement shows awareness of the safety guidelines for infant car seat usage.
Choice B is incorrect as a car seat challenge test is usually performed in the hospital and not before discharge by parents.
Choice C is incorrect as it is unsafe to turn a baby's car seat to face forward at 1 year old; it is recommended to keep the seat rear-facing for as long as possible for optimal safety.
Choice D is incorrect as using a sleep sack in the car seat can interfere with the harness system and compromise the baby's safety in case of a crash.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 5 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of your baby's penis appears dark red. This is important as it could indicate a complication like infection or inadequate blood flow. A: Yellow exudate is not a normal finding and should be reported immediately. C: The Plastibell is typically removed after a few days, not 4 hours. D: A snug diaper can cause pressure on the circumcision site, leading to complications.