ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus (MRSA).
Question 1 of 5
Which type of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Contact precautions. These precautions are used to prevent spread of infections through direct or indirect contact. The nurse should initiate contact precautions when the patient has a known or suspected contagious disease that can be transmitted through touch or contact with contaminated surfaces. This includes wearing gloves and gowns, and ensuring proper hand hygiene. Protective environment (
A) is used for immunocompromised patients. Droplet (
B) precautions are for diseases spread through respiratory droplets. Airborne (
D) precautions are for diseases spread through airborne particles. Contact precautions are the most appropriate choice based on the given scenario.
Extract:
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 2 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Administer oxygen at 10 L/min via a nonrebreather face mask. This action is indicated to provide adequate oxygenation to the client after discontinuing the infusion. Oxygen therapy helps prevent hypoxia, a common complication post-infusion. Option B is incorrect as it is not relevant to the situation. Option C, initiating amnioinfusion, is not indicated after discontinuing an infusion. Option D, placing the client in a supine position, may not be appropriate and can lead to complications like hypotension.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 3 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.
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to initiate seizure precautions (
C) because the infant is at risk for seizures. Seizure precautions include ensuring a safe environment, such as removing potential hazards and padding sharp corners. Monitoring blood glucose every hour (
B) is not indicated unless there is a specific medical condition requiring it. Providing a stimulating environment (
A) may not be appropriate during a seizure risk. Placing the infant on his back with legs extended (
D) is a basic infant positioning but does not address the seizure risk directly.
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 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D). This is because misoprostol is commonly used in obstetrics to induce labor or help with postpartum hemorrhage. Administering betamethasone IM (
Choice
B) is not necessary in this scenario. Avoiding sterile vaginal examinations (
Choice
A) is not recommended as they may be needed for assessing progress in labor. Obtaining a specimen for a Kleihauer-Betke test (
Choice
C) is used to determine the amount of fetal blood in the maternal circulation, but it is not the immediate action required in this situation.