ATI RN
ATI RN Maternal Newborn 2023 Exam 4 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: D
Rationale: The correct answer is D: Offer your baby a pacifier during naps if desired. This statement is correct because offering a pacifier during naps can help reduce the risk of sudden infant death syndrome (SIDS). Pacifiers have been shown to soothe babies and facilitate better sleep, which can be beneficial for both the baby and the parents.
Incorrect statements:
A: Apply triple antibiotic ointment on your baby's umbilical cord twice daily - This is incorrect because applying ointment on the umbilical cord can actually increase the risk of infection.
B: Give your baby an immersion bath daily - This is incorrect because newborns do not need daily immersion baths, as it can dry out their skin.
C: Swaddle your baby with their legs in an extended position - This is incorrect because swaddling with legs extended can increase the risk of hip dysplasia.
Extract:
A nurse is caring for a patient who is at 37 weeks of gestation and is being tested for Group B Streptococcus (GBS). The patient is multigravida and multipara with no history of GBS.
Question 2 of 5
Which of the following is an appropriate response by the nurse to the patient's question about why the test was not conducted earlier?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because Group B Streptococcus (GBS) testing is typically done between 35-37 weeks of gestation to accurately detect GBS colonization before delivery. This timing allows for appropriate interventions to prevent neonatal GBS infection.
Incorrect
Choices:
A: Lack of indication in earlier prenatal testing does not justify delaying GBS testing.
B: Previous negative deliveries do not rule out GBS colonization in the current pregnancy.
C: Symptoms are not reliable indicators of GBS presence, as many carriers are asymptomatic.
Summary:
Choice D is correct as it aligns with evidence-based practice guidelines for GBS testing during pregnancy, while the other choices provide inadequate or irrelevant justifications for delaying testing.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a cool sitz bath. This action helps reduce perineal swelling and discomfort postpartum. Cooling the area constricts blood vessels, decreases inflammation, and provides relief.
Choice B is incorrect as methylergonovine is used to prevent or treat postpartum hemorrhage, not for perineal care.
Choice C is incorrect because warm compresses can increase swelling and discomfort.
Choice D is incorrect as povidone-iodine can be too harsh and delay healing.
Extract:
A nurse in the emergency department is caring for a 19-year-old patient who is at 18 weeks of gestation. The patient presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. The patient states that they have been unable to retain even clear fluids for the past 48 hours. The patient reports no pain. The patient reports a history of migraines and asthma.
Question 4 of 5
What condition is the patient most likely experiencing?
Correct Answer: B
Rationale: The patient is most likely experiencing Hyperemesis Gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 5 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A. Delaying the instillation of antibiotic ophthalmic ointment helps facilitate bonding between the newborn and parent. This is important because the initial moments after birth are crucial for establishing a strong emotional connection between the newborn and the parent, which can have long-lasting positive effects on the child's development.
Choices B, C, and D are incorrect because the weight of the newborn, identifying infection, and mode of delivery do not directly impact the need to delay the instillation of the ointment for bonding purposes.