ATI RN Maternal Newborn 2023

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?

A. The car seat should be positioned in the car at a 45-degree angle.'B. My baby will need a car seat challenge test before discharge.'C. When my baby is 1 year old, I can turn their car seat facing forward.'D. I can use a sleep sack to keep my baby warm in the car seat.'

Correct Answer: A

Rationale: A 45-degree angle is recommended for rear-facing car seats to ensure airway safety. A car seat challenge is for preterm infants, not term newborns like this one. Forward-facing is recommended at 2 years, not 1, and sleep sacks can interfere with harness safety.

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?

A. Allow the medication to reach room temperature prior to administration.B. Verify that informed consent is obtained prior to administration.C. Place the client in a semi-Fowler's position for 1 hr after administration.D. Instruct the client to avoid urinary elimination until after administration.

Correct Answer: B

Rationale: Informed consent is required for labor induction with dinoprostone, a prostaglandin, due to its risks and benefits.

Extract:

A nurse is assessing a full-term newborn upon admission to the nursery.

Question 3 of 5

Which of the following clinical findings should the nurse report to the provider?

A. Subconjunctival hemorrhageB. Rust-stained urineC. Transient circumoral cyanosisD. Single palmar creases

Correct Answer: D

Rationale: Single palmar creases are associated with Down syndrome and require reporting. The other findings are benign in newborns.

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?

A. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.'B. This procedure determines if your baby has genetic or congenital disorders.'C. We can schedule the procedure for later today if you'd like.'D. You cannot have an amniocentesis until you are at least 35 years of age.'

Correct Answer: B

Rationale: Amniocentesis is primarily used to detect genetic or congenital disorders, not to determine fetal sex, which is typically assessed via ultrasound. The nurse should clarify the purpose of the procedure.

Extract:

A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.

Question 5 of 5

Which of the following actions should the nurse take?

A. Have the client limit the length of breastfeeding to 5 min per breast.B. Instruct the client to wait 4 hr between daytime feedings.C. Offer supplemental formula between the newborn's feedings.D. Assess the newborn's latch while breastfeeding.

Correct Answer: D

Rationale: Sore nipples often result from poor latch; assessing and correcting it is the priority over limiting feeding or adding formula.

ATI RN Maternal Newborn 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN