ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because preterm newborns have less muscle tone, leading to increased body surface area exposed to heat loss. This makes them more vulnerable to hypothermia. Option A is incorrect as brown fat helps in thermoregulation. Option B is incorrect as shivering is not a common response in preterm newborns. Option C is incorrect as sweating is a limited response in newborns.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should assist the client to the bathroom first because it addresses the immediate need for toileting, ensuring comfort and preventing potential accidents. This action promotes the client's autonomy and dignity. Inserting a urinary catheter (
Choice
A) should not be the first step as it's an invasive procedure with potential complications. Offering a sitz bath (
Choice
B) and pouring warm water over the perineum (
Choice
D) are helpful for comfort but do not address the immediate need for toileting.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Check identification badges of staff who enter your room. This instruction is important for maintaining the safety and security of both the mother and newborn. By verifying the identification badges of staff, the mother can ensure that only authorized personnel are entering the room, reducing the risk of unauthorized individuals gaining access. This step helps in preventing any potential harm or security breaches.
Other choices are incorrect:
A: Removing the monitoring band for bathing can compromise the monitoring of the newborn's vital signs.
B: Limiting visitors to immediate family is a good practice but not as crucial for safety and security.
D: Sending the newborn to the nursery while sleeping may not be necessary and can disrupt bonding and breastfeeding.
In summary, option C is the most essential for ensuring the safety and security of the mother and newborn compared to the other choices.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the birth canal and promoting descent. Pressing on the suprapubic area (
B) could be painful for the client and is not a recommended technique. Applying pressure to the fundus (
C) can cause uterine contractions and should be avoided during labor. Moving the client onto their hands and knees (
D) may not be suitable for all situations and could potentially hinder the progress of labor.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 5 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: B
Rationale: The correct answer is B. A 4.5 kg (10 lb) weight gain since a positive pregnancy test is concerning as it may indicate excessive weight gain, which can lead to complications during pregnancy. Referring the client to a registered dietitian can help ensure they are following a healthy and balanced diet to manage weight gain and promote optimal health for both the client and the baby.
Choices A, C, and D do not directly indicate the need for a dietitian referral. A multivitamin, nausea, and constipation can be addressed by a healthcare provider without necessarily involving a dietitian.