ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 1 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Contact precautions. Contact precautions are necessary when the patient is infected or colonized with a microorganism that can be easily transmitted by direct or indirect contact. This includes wearing gloves and gowns when entering the patient's room. Airborne precautions (
A) are for pathogens that remain suspended in the air and require special air handling. Protective environment (
B) precautions are used for patients with compromised immune systems. Droplet precautions (
D) are for pathogens transmitted through respiratory droplets. The other choices are not relevant to the scenario described in the question.
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: C
Rationale: The correct action is to provide the client with a cool sitz bath (
Choice
C). This helps reduce perineal swelling and discomfort postpartum. Administering methylergonovine (
Choice
A) is used to manage postpartum hemorrhage. Applying povidone-iodine (
Choice
B) can cause skin irritation. Applying a warm compress (
Choice
D) may increase perineal swelling.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 3 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:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because feeding the baby at least every 3 hours helps maintain adequate nutrition and hydration, supporting healthy growth and development.
Choice B limits feeding time, potentially leading to insufficient intake.
Choice C is incorrect as newborns should not be given water as it can interfere with breastfeeding and lead to water intoxication.
Choice D is incorrect as newborns should have at least 6-8 wet diapers a day to ensure proper hydration and kidney function.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 5 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: The correct answer is B: Third-degree perineal laceration. This is a contraindication to using a suppository because the insertion of a suppository may cause further trauma or discomfort to the area, delaying the healing process and increasing the risk of infection. Vaginal candidiasis (choice
A) is not a contraindication as the suppository can actually be used to treat this condition. Abdominal distention (choice
C) and afterpains (choice
D) are not direct contraindications to using a suppository and can be managed separately.