ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 1 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.
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 providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 3 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 assessing a newborn who has neonatal abstinence syndrome.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Excessive crying. Excessive crying is a common finding in infants with colic, which is a self-limiting condition characterized by prolonged and inconsolable crying. Diminished deep tendon reflexes (
A), absent Moro reflex (
B), and decreased muscle tone (
D) are not typically associated with colic. It is important for the nurse to recognize these findings to differentiate them from colic and provide appropriate care.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 5 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel (
A) helps dilate the blood vessels for easier puncture. Next, cleaning the area with an antiseptic (
B) reduces the risk of infection. Puncturing the outer aspect of the newborn's heel (
C) allows for blood collection. Collecting the blood specimen (
D) is the next step to obtain the sample. Finally, applying pressure to the site with a dry gauze pad (E) helps to stop bleeding and promote healing.
Choices F and G are not applicable in this context.