ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Offer your baby a pacifier during naps if desired. This is the correct statement because pacifiers have been shown to reduce the risk of Sudden Infant Death Syndrome (SIDS) by providing a safe sucking mechanism that can help babies self-soothe. Providing a pacifier during naps can also help babies fall asleep faster and improve sleep quality.
Choice A is incorrect because applying triple antibiotic ointment on the umbilical cord can increase the risk of infection and delay the natural healing process.
Choice C is incorrect because giving a baby an immersion bath daily can strip their skin of natural oils and lead to dryness and irritation.
Choice D is incorrect because swaddling a baby with their legs in an extended position can increase the risk of hip dysplasia.
In summary, the correct statement promotes safe sleep practices and infant comfort, while the incorrect statements may pose risks to the baby's health and well-being.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 2 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: D
Rationale: The correct answer is D: Oxygen saturation of 89%. A low oxygen saturation level indicates poor oxygenation, which is a critical indicator of a decline in the newborn's status. Oxygen saturation below 90% is concerning and may lead to hypoxia, affecting vital functions. Nasal flaring (
A) and fine crackles (
C) can be early signs of respiratory distress but do not directly indicate a decline. An apneic episode less than 15 seconds (
B) is common in newborns and does not necessarily indicate a significant decline. In summary, a low oxygen saturation level is the most critical finding that indicates a decline in the newborn's status compared to the other choices.
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 3 of 5
Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, D, E, C
Rationale: The correct order is A, B, D, E, C. Firstly, instructing the client to empty their bladder ensures a clearer examination. Positioning the client supine with knees flexed and placing a small, rolled towel under one hip helps relax the abdominal muscles for better palpation of the fundus (
D). Palpating the fetal parts along both sides of the uterus (E) helps determine the fetal position. Finally, palpating the fetal part positioned above the symphysis pubis (
C) allows for confirmation of the fetal presentation. This sequence ensures a systematic and thorough assessment of the fetal position and presentation.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 4 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D. Checking identification badges of staff who enter the room is crucial for ensuring the safety and security of the newborn and the mother. By verifying the identity of the staff, the nurse can prevent unauthorized individuals from accessing the room and potentially harming the newborn or the mother. This practice also helps in maintaining a secure and controlled environment within the healthcare setting.
Choice A is incorrect because limiting visitors to immediate family may not address all potential risks to the newborn and mother.
Choice B is incorrect as sending the newborn to the nursery while the mother is sleeping may disrupt bonding and breastfeeding.
Choice C is incorrect as removing the electronic monitoring band can compromise the monitoring of the newborn's vital signs.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 5 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.