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 newborn who has neonatal abstinence syndrome.
Question 2 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.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Close the newborn's eyes before applying eyepatches. This is important to prevent any irritation or discomfort to the newborn when applying eyepatches. Closing the eyes ensures that the patches adhere properly and do not cause any harm. Providing glucose water (
A) is unnecessary and not recommended for newborns. Turning the newborn every 4 hours (
B) is a good practice for preventing pressure ulcers in older patients, not typically needed for newborns. Applying hydrating lotion (
D) prior to treatment may interfere with the effectiveness of the treatment and is not a recommended practice for newborn care.
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 a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale:
Correct
Answer: C - "You should have your provider refit you for a new diaphragm."
Rationale: It is important for the nurse to instruct the patient to have their provider refit them for a new diaphragm because diaphragms need to be properly fitted to ensure effectiveness in contraception. Over time, the size and shape of the cervix can change, which may affect the fit of the diaphragm. It is recommended to have the diaphragm refitted after significant weight change, pregnancy, childbirth, or every 2-3 years. This ensures that the diaphragm continues to provide optimal protection against pregnancy.
Summary of Incorrect
Choices:
A: Using an oil-based lubricant can damage the diaphragm. Water-based lubricants are recommended.
B: The diaphragm should be kept in place for at least 6 hours, not 4 hours, after intercourse.
D: Diaphragms should be stored in a cool, dry place, not sterile