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 client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 2 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 is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 3 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 4 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 5 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.