Maternal Newborn ATI Practice Questions

Maternal Newborn ATI Practice Questions Related

Review Maternal Newborn ATI Practice Questions related questions and content

A neonate is being discharged home with a fiber-optic blanket for treatment of physiologic jaundice. What is important for the nurse to include in the discharge instructions?

  • A. Cover the infant's eyes during the treatment.
  • B. Reduce the daily number of formula feedings.
  • C. Encourage frequent feeding to increase intake.
  • D. Expect a constipated stool until jaundice clears.
Correct Answer: C

Rationale: The correct instruction for the nurse to include in the discharge plan is to encourage frequent feeding to increase intake. Fiber-optic blankets for treating physiologic jaundice work by promoting the breakdown of bilirubin in the skin through phototherapy. Encouraging frequent feeding helps increase the infant's intake, leading to more frequent bowel movements which aids in the elimination of excess bilirubin from the body. This, in turn, helps in resolving physiologic jaundice more quickly. Covering the infant's eyes during treatment may be necessary to protect them from the bright light, but it is not directly related to the effectiveness of the treatment. Reducing the number of formula feedings could decrease the baby's intake, potentially leading to more concentrated levels of bilirubin. Expecting constipation until jaundice clears is not a typical consequence of using a fiber-optic blanket for jaundice treatment.

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The nurse is caring for a client at 39 weeks' gestation in active labor. The fetal monitor shows late decelerations. What is the priority nursing action?

  • A. Reposition the client to her left side.
  • B. Increase the oxytocin infusion rate.
  • C. Encourage the client to push harder.
  • D. Notify the healthcare provider immediately.
Correct Answer: A

Rationale: Repositioning improves uteroplacental blood flow and oxygen delivery to the fetus, addressing late decelerations.

What is one characteristic of the Alexander Technique the nurse can explain to a patient?

  • A. taught only in person
  • B. focused on unmedicated birth
  • C. taught by a person who will assess the muscles and posture
  • D. only useful for pregnancy but not birth
Correct Answer: C

Rationale: The Alexander Technique involves personalized assessment of posture and muscle tension by a trained instructor.

A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

  • A. Apply a thin layer of lotion to the newborn skin every 8 hrs.
  • B. Give the newborn 1oz of glucose water every 4 hrs.
  • C. Ensure the newborn eyes are closed beneath the shield.
  • D. Dress the newborn in a thin layer of clothing during therapy
Correct Answer: C

Rationale: The correct action the nurse should include in the care plan for a newborn undergoing phototherapy using a lamp is to ensure that the newborn's eyes are closed beneath the shield. This is important to protect the newborn's eyes from exposure to the bright light emitted during phototherapy, as prolonged exposure can lead to eye damage. Keeping the eyes closed under the shield helps prevent potential harm and ensures the safety and well-being of the newborn during the treatment. Applying a thin layer of lotion, giving glucose water, or dressing the newborn in clothing are not relevant or appropriate actions for phototherapy care in this scenario.

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

  • A. Discontinue the medication infusion.
  • B. Prepare for an emergency cesarean birth.
  • C. Assess maternal blood glucose.
  • D. Place the client in Trendelenburg position.
Correct Answer: A

Rationale: The most appropriate action for the nurse to take in this situation is to discontinue the medication infusion. The client is showing signs of magnesium sulfate toxicity, which can include respiratory depression (low respiratory rate) and absent deep-tendon reflexes. These are early signs of magnesium toxicity, and prompt action is needed to prevent further complications. Discontinuing the medication infusion will help reduce the risk of magnesium toxicity worsening. The other options are not appropriate in this situation as they do not address the immediate concern of magnesium toxicity.

A delivering patient presses the call light and reports that her water just broke the nurse first action should be:

  • A. Check the fetal heart tone
  • B. Call physician
  • C. Change bed linen
  • D. Encourage mother to go for a walk
Correct Answer: A

Rationale: The correct first action when a delivering patient's water breaks is to check the fetal heart tone. This is important to assess the well-being of the baby and ensure there are no signs of distress. Once the fetal heart tone is confirmed, the nurse can proceed with notifying the physician, changing bed linen, and encouraging the mother to go for a walk as needed. But the priority should always be to assess the fetal well-being in such a situation.

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