ATI RN Maternal Newborn 2019 Proctored Exams BUNDLED TOGETHER| Grade A+ |More than 200 Questions and Verified Answers |2023 UPDATE
QUESTION
A nurse is
... [Show More] caring for a newborn immediately following delivery. What actions should the nurse take first?
a. place the newborn directly on the client's chest
b. administer erythromycin ophthalmic ointment
c. give the newborn vit K IM
d. perform a detailed physical assessment
Answer:
a. place the newborn directly on the client's chest
the greatest risk to the newborn is cold stress, which increases the need for oxygen and glucose. Placing the newborn directly on the client's chest will help maintain the newborn's temperature.
QUESTION
A nurse is providing teaching to the parents of a newborn about home safety. What statement by the parents indicates an understanding of the teaching?
a. I will use an infant carrier when I drive to places close to the house
b. I will tie my baby's pacifier around his neck with a piece of yarn
c. I will place my baby on his back when it is time for him to sleep
d. I will keep my babys crib close to heat vents to keep him warm
Answer:
c. I will place my baby on his back when it is time for him to sleep
QUESTION
A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well flexed extremities, responding to stimuli with a cry, blue hands and feet. What Apgar score should the nurse assign to the newborn?
a. 10
b. 9
c. 8
d. 7
Answer:
b. 9
QUESTION
A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration. The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bm since delivery. What action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder
Answer:
d. assist the client to empty her bladder
When the client's fundus is deviated to the right or left it can indicate that her bladder is full. The nurse should assist the client to empty her bladder to prevent uterine atony and excessive lochia.
QUESTION
A nurse is preparing to administer morphine oral solution 0.04 mg/kg to a newborn who weighs 2.5kg. The amount available is 0.4 mg/ml. how many ml should the nurse administer?
Answer:
0.25
QUESTION
A nurse is assessing a 12 hr old newborn and notes a resp rate of 44 with shallow respirations and periods of apnea lasting up to 10 seconds. What action should the nurse take?
a. continue routine monitoring
b. place newborn prone
c. request a script for supplemental o2
d. perform chest percussion
Answer:
a. continue routine monitoring
The nurse should continue routine monitoring because the newborn's assessments findings indicate he is adapting to extrauterine life.
placing in sidelying or supine
QUESTION
A nurse is caring for a client who reports intestinal gas pain following a c-section. What action should the nurse take?
a. encourage client to drink carbonated beverages
b. instruct the client to splint the incision with a pillow
c. have the client drink fluids through a straw
d. assist the client to ambulate in the hallway
Answer:
d. assist the client to ambulate in the hallway
Walking can help stimulate peristalsis, which will promote expulsion of gas.
QUESTION
A nurse is caring for a newborn who is premature at 30 wks gestation. What finding should the nurse expect?
a. heel creases covering the bottom of the feet
b. good flexion
c. abundant lanugo
d. dry, parchment-like skin
Answer:
c. abundant lanugo
Newborns who are premature have abundant lanugo, fine hair, especially over their back. A full-term newborn typically has minimal lanugo present only on the shoulders, pinnas, and forehead.
QUESTION
A nurse is assessing a newborn 1 hr after birth. What assessment findings should the nurse report to the provider?
a. acrocyanosis
b. jaundice of the sclera
c. resp rate 50
d. cbg 60
Answer:
b. jaundice of the sclera
If the newborn has jaundice within the first 24 hr of life, this can indicate a potential pathological process such as hemolytic disease. Pathologic jaundice can result in high levels of bilirubin that can cause damage to the neonatal brain.
QUESTION
A nurse is providing teaching to the parents of a newborn about bottle feeding. What instructions should the nurse include?
a. discard unused refrigerated formula after 72 hrs
b. prop the bottle with a blanket for the last feeding of the day
c. dilute ready-to-feed formula if the newborn is gaining wt too quickly
d. boil water for powdered formula for 1-2 min
Answer:
d. boil water for powdered formula for 1-2 min
The parents should run tap water for 2 min and then boil it for 1 to 2 min before mixing it with the formula to decrease the risk of contamination.
QUESTION
A nurse is caring for a client who is to receive a continuous IV infusion of oxytocin following a vaginal birth. What assessment findings should the nurse monitor to evaluate the effectiveness of the med?
a. pulse rate
b. bp
c. fundal consistency
d. output [Show Less]