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 evaluating a newborn who was born 2 hours ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 2 of 5
Which finding indicates a decline in the newborn's status?
Correct Answer: A
Rationale: An oxygen saturation of 89% is below the normal range for a newborn (above 95%), indicating a decline in status.
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 a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 5 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.