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: Preterm newborns have less muscle tone, which exposes more body surfaces to heat loss. Muscle tone provides insulation and generates heat.
Extract:
A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A fasting blood glucose level of 180 mg/dL is significantly above the normal range, indicating hyperglycemia, possibly gestational diabetes, requiring immediate reporting.
Extract:
A nurse is caring for a client who is 1 hour postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Anticipating a prescription for misoprostol is the correct action. Misoprostol can treat uterine atony by causing the uterus to contract, controlling bleeding.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: Erythromycin ophthalmic ointment is administered to newborns to prevent neonatal conjunctivitis, also known as ophthalmia neonatorum, specifically for Neisseria gonorrhoeae infection prevention. If the guardian refuses the administration of erythromycin, the healthcare provider should respect the guardian's decision and document the refusal.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action the nurse should take when caring for a client who has bladder distention following a vaginal birth is to assist the client to the bathroom. Encouraging the client to empty her bladder will relieve the distention and promote comfort.