Review ATI RN Maternal Newborn 2023

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ATI RN Maternal Newborn 2023

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Total Questions : 61

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Question 1:

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

A. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." B. "This procedure determines if your baby has genetic or congenital disorders." C. "We can schedule the procedure for later today if you'd like." D. "You cannot have an amniocentesis until you are at least 35 years of age."

Answer and Explanation

Choice A:

"Your provider will schedule a chorionic villus sampling to determine the sex of your baby." Chorionic villus sampling (CVS) is a different prenatal test that involves taking a sample of chorionic villi for genetic testing, not determining the sex of the fetus.

Choice B:

"This procedure determines if your baby has genetic or congenital disorders."Correct answer.Amniocentesis is a prenatal test used to diagnose genetic disorders or chromosomal abnormalities, not to determine the sex of the fetus.

Choice C:

"We can schedule the procedure for later today if you'd like." Amniocentesis is not typically scheduled on the same day as requested. It requires prior preparation and scheduling.

Choice D:

"You cannot have an amniocentesis until you are at least 35 years of age." There's no age restriction for amniocentesis based solely on maternal age. It's typically recommended for women at higher risk for genetic conditions, regardless of age.

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Question 2:

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B. Which of the following foods should the nurse recommend?

A. Raw carrots B. Brown rice C. Fresh citrus fruits D. Fortified soy milk

Answer and Explanation

Choice A:

Raw carrots: While carrots are nutritious, they are not significant sources of vitamin B12, which is typically lacking in a vegan diet.

Choice B:

Brown rice: Brown rice is a whole grain and a good source of certain B vitamins like niacin and thiamine, but it does not contain vitamin B12, which is important for those following a vegan diet.

Choice C:

Fresh citrus fruits: Citrus fruits are rich in vitamin C but do not provide significant amounts of vitamin B12.

Choice D:

Fortified soy milk:Correct answer. Fortified soy milk is often enriched with vitamin B12, making it a suitable choice for individuals following a vegan diet who may struggle to obtain adequate amounts of this vitamin from plant-based sources.

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Question 3:

A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

A. Polycythemia B. Facial palsy C. Bronchopulmonary dysplasia D. Hypoglycemia

Answer and Explanation

Choice A:

Polycythemia: Polycythemia, an elevated red blood cell count, is not typically associated with forceps-assisted birth.

Choice B:

Facial palsy:Correct answer. Facial palsy, or weakness or paralysis of facial muscles, can occur as a complication of forceps-assisted birth due to pressure or trauma to the facial nerve during delivery.

Choice C:

Bronchopulmonary dysplasia: Bronchopulmonary dysplasia is a lung condition primarily affecting premature infants and is not directly related to the method of delivery.

Choice D:

Hypoglycemia: Hypoglycemia, low blood sugar levels, can occur in newborns for various reasons but is not specifically associated with forceps-assisted birth unless there are other complicating factors.

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Question 4:

A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?

A. "The car seat should be positioned in the car at a 45-degree angle." B. "My baby will need a car seat challenge test before discharge." C. "When my baby is 1 year old, I can turn their car seat facing forward." D. "I can use a sleep sack to keep my baby warm in the car seat."

Answer and Explanation

Choice A:

Positioning the car seat at a 45-degree angle helps to ensure that the baby's airway remains open and reduces the risk of slumping, which can lead to suffocation. This positioning is essential for newborns who may have limited head and neck control.

Choice B:

A car seat challenge test is typically performed for preterm infants or those with specific health concerns, not for all newborns. Newborns delivered at 38 weeks generally do not require this test unless there are other complications.

Choice C:

"When my baby is 1 year old, I can turn their car seat facing forward." Incorrect. It is recommended to keep infants in a rear-facing car seat until they reach the maximum height or weight limit recommended by the car seat manufacturer, typically well beyond the first year of life.

Choice D:

"I can use a sleep sack to keep my baby warm in the car seat." While using a sleep sack can keep a baby warm, it's important not to use any additional padding or blankets in the car seat asthey can interfere with the proper harness fit and increase the risk of injury in the event of a crash.

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Question 5:

A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

A. Excessive crying B. Decreased muscle tone C. Absent Moro reflex D. Diminished deep tendon reflexes

Answer and Explanation

Choice A:

Excessive crying:Correct answer. Neonatal abstinence syndrome (NAS) often presents with irritability, inconsolable crying, and difficulty soothing.

Choice B:

Decreased muscle tone: NAS can cause hypertonia or increased muscle tone rather than decreased muscle tone.

Choice C:

Absent Moro reflex: NAS may cause hyperactive Moro reflex rather than absent.

Choice D:

Diminished deep tendon reflexes: NAS can cause hyperactive deep tendon reflexes rather than diminished.

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Question 6:

A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Which of the following actions should the nurse take?

A. Provide the newborn with 15 ml glucose water after each feeding. B. Turn the newborn every 4 hours. C. Close the newborn's eyes before applying eyepatches. D. Apply hydrating lotion to the newborn's skin prior to treatment.

Answer and Explanation

Choice A:

Provide the newborn with 15 ml glucose water after each feeding: This action is not directly related to phototherapy for jaundice treatment.

Choice B:

Turn the newborn every 4 hours: While turning the newborn is important for preventing pressure ulcers, it is not specifically related to phototherapy.

Choice C:

Close the newborn's eyes before applying eyepatches:Correct answer. It is important to protect the newborn's eyes from phototherapy light by using eye patches or covering their eyes with soft material to prevent damage to the retina.

Choice D:

Apply hydrating lotion to the newborn's skin prior to treatment: Hydrating lotion is not typically applied before phototherapy, as it may interfere with the effectiveness of the treatment or cause skin irritation.

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Question 7:

A. "The car seat should be positioned in the car at a 45-degree angle." B. "My baby will need a car seat challenge test before discharge." C. "When my baby is 1 year old, I can turn their car seat facing forward." D. “I can use a sleep sack to keep my baby warm in the car seat."

Answer and Explanation

Choice A:

"The car seat should be positioned in the car at a 45-degree angle." Incorrect. While the angle of the car seat is important, it should typically be positioned at a 30- to 45-degree angle to support the baby's airway, but this statement does not reflect understanding of the specific teaching about the car seat challenge test.

Choice B:

"My baby will need a car seat challenge test before discharge."Correct answer. The car seat challenge test is often performed for preterm infants or infants with certain medical conditions to ensure they can tolerate being in a car seat for an extended period without adverse effects on their breathing or heart rate.

Choice C:

Choice D:

“I can use a sleep sack to keep my baby warm in the car seat." While using a sleep sack can keep a baby warm, it's important not to use any additional padding or blankets in the car seat as they can interfere with the proper harness fit and increase the risk of injury in the event of a crash.

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Question 8:

A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

A. "You should use an oil-based vaginal lubricant when inserting your diaphragm." B. "You should keep the diaphragm in place for at least 4 hours after intercourse." C. "You should have your provider refit you for a new diaphragm." D. "You should store your diaphragm in sterile water after each use."

Answer and Explanation

Choice A:

"You should use an oil-based vaginal lubricant when inserting your diaphragm." Incorrect.Oil-based lubricants can weaken latex diaphragms, increasing the risk of breakage. Water-based lubricants are recommended instead.

Choice B:

"You should keep the diaphragm in place for at least 4 hours after intercourse." Incorrect.Diaphragms should be left in place for at least 6 hours after intercourse but not longer than 24 hours.

Choice C:

"You should have your provider refit you for a new diaphragm."Correct answer. After childbirth, the size and shape of the cervix may change, affecting the fit of the diaphragm. Therefore, it's important to have the diaphragm refitted by a healthcare provider.

Choice D:

"You should store your diaphragm in sterile water after each use." Incorrect. Diaphragms should be cleaned and dried thoroughly after each use and stored in a cool, dry place, not in sterile water.

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Question 9:

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

A. Breast tenderness B. Chills C. Tinnitus D. Urinary frequency

Answer and Explanation

Choice A:

Breast tenderness:Correct answer. Clomiphene citrate, a medication used to induce ovulation, can cause breast tenderness as a common adverse effect due to its estrogenic effects.

Choice B:

Chills: Chills are not a common adverse effect of clomiphene citrate.

Choice C:

Tinnitus: Tinnitus, or ringing in the ears, is not typically associated with clomiphene citrate use.

Choice D:

Urinary frequency: Urinary frequency is not a common adverse effect of clomiphene citrate.

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Question 10:

A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Which of the following questions should the nurse ask to assess the client's dietary intake?

A. "When was the last time you ate meat?" B. "Have you considered eating shellfish?" C. "How much protein do you eat in a day?" D. "Are you taking a Vitamin C supplement?"

Answer and Explanation

Choice A:

"When was the last time you ate meat?": This question is not relevant for a client who adheres to a vegan diet, as they do not consume meat.

Choice B:

"Have you considered eating shellfish?": This question is not appropriate for a client who follows a vegan diet, as shellfish is not part of a vegan diet.

Choice C:

"How much protein do you eat in a day?":Correct answer. Protein intake is an important consideration for individuals following a vegan diet, as they may need to ensure they are obtaining adequate protein from plant-based sources.

Choice D:

"Are you taking a Vitamin C supplement?": While assessing vitamin intake is important, protein intake is particularly relevant for a client following a vegan diet, as certain plant-based protein sources may be lower in certain essential amino acids compared to animal-based protein sources.

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Total Questions : 61

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ATI RN Maternal Newborn 2023

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