ATI Week 1 Practice Questions: Dakota Wesleyan University - MATERNAL H 300 ATI Week 1 Practice Questions and Answers for ATI 2019-2020.

Document Content and Description Below

Week 1 Practice Questions – ATI 2019-2020 1) A nurse is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the nurse’s priority? a) hy... pothermia b) respiratory distress c) accidental lacerations d) acrocyanosis 2) A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will come in. Which of the following responses should the nurse make? a) in 3 to 5 days b) in about 10 days c) within 2 days d) in 6 to 8 days 3) A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant? a) promote maternal-infant bonding b) educate the parents about the defect c) maintain the integrity of the sac d) provide age-appropriate stimulation 4) A nurse is teaching a newborn’s parent to care for the umbilical cord stump. Which of the following instructions should the nurse include? a) cover the cord with the diaper b) give a sponge bath until the cord stump falls off c) wash the cord daily with mild soap and water d) apply petroleum jelly to the cord stump 5) A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn’s maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make? a) the best way to determine if your baby can hear is to clap your hands loudly and see if she startles b) look at how she looks at you when you speak. That’s a good sign c) there is no need to worry about that. Most forms of hearing loss are not inherited. d) we do routine hearing screenings on newborns. You’ll know the results before you leave the hospital. 6) A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother’s room. Which of the following is an appropriate response by the nurse? a) you may carry your grandchild to the room b) have the mother call and I will take the baby to the room c) you can push the baby to the room in a wheeled bassinet d) if you show me your photo identification, you can take the infant 7) A nurse is completing discharge instructions for a new mother and her 2-day old newborn. The mother asks, ‘How will I know if my baby gets enough breast milk?’ Which of the following responses should the nurse make? a) your baby should burp after each feeding b) your baby should sleep at least 6 hours between feedings c) your baby should wet 6 to 8 diapers per day d) your baby should have a wake cycle of 30 to 60 minutes after each feeding 8) A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action? a) administer vitamin K b) dry the skin c) administer eye prophylaxis d) place an identification bracelet 9) A nurse is caring for a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure? a) assess the client’s temperature b) assess the fetal heart rate pattern c) observe color and consistency of fluid d) evaluate client for the presence of chills and increased uterine tenderness 10) A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference? a) sternal notch b) xiphoid process c) nipple line d) fifth intercostal space 11) A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider’s orders. Which of the following orders requires clarification? a) continuous fetal monitoring b) obtain a daily weight c) assess deep tendon reflexes every hour d) ambulate twice daily 12) A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, “is there a chance that I could deliver my next baby without having a cesarean section?” which of the following responses should the nurse provide? a) the primary consideration is what type of incision was performed this time b) a repeat cesarean birth is safer for both you and your baby c) there are so many variable that you’ll have to ask you obstetrician d) it’s too soon for you to be worrying about this now 13) A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn? a) dry the infant off and cover the head b) clear the respiratory tract c) stimulate the infant to cry d) cut the umbilical cord 14) A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make? a) the added brown fat layer in a preterm newborn reduces his ability to generate heat b) preterm newborns lack adequate temperature control mechanisms. c) preterm newborns have a smaller body surface area than normal newborns d) the heat in the incubator rapidly dries the sweat of preterm newborns 15) A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, “I don’t want to take anything for pain because I am breastfeeding.” Which of the following statements should the nurse make? a) all medications are found in breast milk to some extent b) you have the option of not taking pain medication if you are concerned c) you need to take pain medications so you are more comfortable d) we can time your pain medication so that you have an hour or two before the next feeding. 16) A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn’s plan of care? a) monitor axillary temperature b) monitor blood glucose levels c) monitor I&O d) monitor weight 17) A nurse is assessing a newborn 1 hour after birth. Which of the following respiratory rates is within the expected reference range for a newborn? a) 100/min b) 22/min c) 110/min d) 48/min 18) A nurse is assisting a client with breastfeeding. The nurse explains that which of the following reflexes will promote the newborn to latch? a) stepping b) rooting c) Babinski d) moro 19) A nurse is caring for a client who is breastfeeding her newborn and asks the nurse about the changes she should make in her diet. Which of the following dietary changes should the nurse suggest? a) increase her fluid intake to 2.5L/day b) avoid shellfish c) reduce her intake of iron d) increase her caloric intake by 600 kcal/day 20) A nurse is completing a home visit to a mother who is 3 days postpartum and breastfeeding her newborn. The mother expresses concern about the amount of weight the newborn has lost since birth. Which of the following is a response the nurse should make? a) you might want to offer water supplements between feedings b) the cause might be too short or infrequent feedings c) it is due to the newborn’s loss of the influence of the maternal hormones d) this might be related to your baby having 3 stools a day 21) A nurse is caring for a client who is 2 days postpartum, is breastfeeding and reports nipple soreness. Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (select all that apply) a) start breastfeeding with the nipple that is less sore b) massage the breasts and nipples prior to feeding c) apply breast milk to the nipples before each feeding d) change the infant’s position on the nipples e) place breast pads inside the nursing bra 22) A nurse is caring for a new mother who is concerned that her newborn’s eyes cross. Which of the following statements is a therapeutic response by the nurse? a) this is a concern, but strabismus is easily treated with patching b) I will call your primary care provider to report your concerns c) I will take your baby to the nursery for further examination d) This occurs because newborns lack muscle control to regulate eye movement 23) A home health nurse is teaching a client who is breastfeeding about managing breast engorgement. Which of the following client statements indicates understanding of the teaching? a) I’ll apply cold compresses 20 minutes before each feeding b) I’ll feed my baby every 2 hours c) I’ll let my baby drain one breast at each feeding d) I’ll try drinking an herbal tea to reduce the engorgement 24) A nurse is preparing to assess a newborn who is postmature. Which of the following findings should the nurse expect? (select all that apply) a) abundant lanugo b) short, soft fingernails c) positive Moro reflex d) cracked, peeling skin e) vernix in the folds and creases 25) A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect? a) scant scalp hair b) increased subcutaneous fat c) copious vernix d) dry, cracked skin [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages