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: 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 full-term newborn upon admission to the nursery.
Question 2 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Restrict daily oral fluid intake. This action is important for patients with heart failure to prevent fluid overload. Administering an IV bolus of lactated Ringer's (
A) can exacerbate fluid overload. Obtaining misoprostol (
B) is not relevant to managing heart failure. Assessing blood pressure twice daily (
C) is important but not the priority.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 4 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool clammy skin. This finding may indicate poor perfusion or shock, which could be concerning postpartum. The nurse should report this to the provider promptly for further evaluation and intervention.
A: BP 120/70 mm Hg is within normal range for postpartum, so it does not require immediate reporting.
C: Moderate lochia serosa is expected in the early postpartum period, so it is not a concerning finding that requires immediate reporting.
D: Heart rate of 89/min is slightly elevated but not critically high, so it does not necessitate immediate reporting.
In summary, the other choices are not as urgent or abnormal as cool clammy skin, which may indicate a more serious issue requiring prompt attention.