ATI RN Maternal Newborn 2023 Retake

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. I can use a sleep sack to keep my baby warm in the car seat.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. The car seat should be positioned in the car at a 45-degree angle.

Correct Answer: D

Rationale: A 45-degree angle ensures airway safety and crash protection. Sleep sacks interfere with harnesses, car seat tests aren't routine for term infants, and rear-facing is recommended beyond 1 year.

Extract:

A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.

Question 2 of 5

What action should the nurse take?

A. Obtain a specimen for a Kleihauer-Betke test.B. Anticipate a prescription for misoprostol.C. Administer betamethasone IM.D. Avoid performing sterile vaginal examinations.

Correct Answer: B

Rationale: Misoprostol is a medication that can be used to treat uterine atony by promoting uterine contractions to reduce bleeding. A Kleihauer-Betke test assesses fetal-maternal hemorrhage, not immediate bleeding management; betamethasone is for fetal lung maturity, not atony; and avoiding vaginal exams doesn't address the bleeding.

Extract:

A nurse is preparing to administer metronidazole 2g orally to a client diagnosed with trichomoniasis. The available medication is metronidazole 250 mg tablets.

Question 3 of 5

How many tablets should the nurse administer?

A. 6 tabletsB. 7 tabletsC. 8 tabletsD. 9 tablets

Correct Answer: C

Rationale: Calculation: 2 g = 2000 mg; 2000 mg Ã· 250 mg/tablet = 8 tablets. Rounded to the nearest whole number, the answer is 8.

Extract:

A nurse is educating the parents of a newborn about the Plastibell circumcision technique.

Question 4 of 5

Which piece of information should the nurse include?

A. Ensure the newborn's diaper is snug.B. Alert the provider if the tip of your baby's penis appears dark red.C. Yellow exudate will form at the surgical site within 24 hours.D. The Plastibell will be removed 4 hours after the procedure.

Correct Answer: C

Rationale: Yellow exudate, which is a normal part of the healing process, will form at the surgical site within 24 hours. This is a normal part of the healing process and should not be mistaken for pus, which would indicate an infection. Ensuring the diaper is snug is general care, a dark red tip isn't a specific concern, and the Plastibell falls off naturally after about a week, not 4 hours.

Extract:

A nurse at an antepartum clinic is caring for four clients.

Question 5 of 5

Which of the following clients should the nurse assess first?

A. A client who is at 10 weeks of gestation and reports frequent urinationB. A client who is at 8 weeks of gestation and reports severe vomitingC. A client who is at 36 weeks of gestation and reports back pain following intercourseD. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers

Correct Answer: B

Rationale: Severe vomiting at 8 weeks suggests hyperemesis gravidarum, requiring urgent assessment for dehydration risks. Other symptoms are less acute.

ATI RN Maternal Newborn 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN