Ati Maternal Newborn Proctored Exam : Ultimate Study Guide With Practice Ǫuestions, Detailed Rationales, And Test-Taking Tips

ATI MATERNAL NEWBORN PROCTORED EXAM : ULTIMATE STUDY GUIDE WITH PRACTICE ǪUESTIONS, DETAILED RATIONALES, AND TEST-TAKING TIPS A caregiver is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the caregiver take? A. Cover the newborn's eyes while under the phototherapy light. B. Keep the newborn in a shirt while under the phototherapy light. C. Apply a light moisturizing lotion to the newborn's skin. D. Turn and reposition the newborn every 4 hour while undergoing phototherapy. Answer: Cover the newborn's eyes while under the phototherapy light. A. Cover the newborn's eyes while under the phototherapy light. Applying an opaque eye mask prevents damage to the newborn's retinas and corneas from the phototherapy light. B. Keep the newborn in a shirt while under the phototherapy light. It is acceptable for the caregiver to keep a diaper or other covering over the newborn's genitals and buttocks, but the caregiver should remove all other clothing and blankets to expose as much body surface area as possible to the phototherapy light. C. Apply a light moisturizing lotion to the newborn's skin. The caregiver should not apply any cream or moisture to the newborn's skin because it can absorb heat and cause burns. D. Turn and reposition the newborn every 4 hour while undergoing phototherapy. The caregiver should turn and reposition the newborn every 2 to 3 hour to allow for maximum exposure of body surfaces to the phototherapy light. 2.A caregiver is performing a vaginal examination on a victim who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the caregiver take next? A. Place a rolled towel beneath one of the victim's hips. B. Apply internal upward pressure to the presenting part using two gloved fingers. C. Administer oxygen to the victim via a nonrebreather mask at 10 L/min. D. Increase the IV infusion rate. Answer: Apply internal upward pressure to the presenting part using two gloved fingers. A. Place a rolled towel beneath one of the victim's hips. The caregiver should place a rolled towel under the victim's left or right hip to alleviate some of the pressure; however, evidence-based practice indicates that the caregiver should take a different action first. B. Apply internal upward pressure to the presenting part using two gloved fingers. Using evidence-based practice, the first action the caregiver should take is to apply internal upward pressure to the presenting part. Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for assistance, the caregiver should relieve the compression on the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The caregiver should not move their hand. C. Administer oxygen to the victim via a nonrebreather mask at 10 L/min. Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which can lead to hypoxia. The caregiver should administer oxygen via a nonrebreather mask at 10 L/min; however, evidence-based practice indicates that the caregiver should take a different action first. D. Increase the IV infusion rate. The caregiver should increase the IV infusion rate; however, evidence-based practice indicates that the caregiver should take a different action first. 3.A caregiver is preparing to administer oxytocin to a victim who is postpartum. Which of the following findings is an indication for the administration of the medication? (SATA) A. Flaccid uterus B. Cervical laceration C. Excess vaginal bleeding D. Increased afterbirth cramping E. Increased maternal temperature Answer: Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even when the uterus is contracted and firm. It will require repair by the provider. Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding. Increased afterbirth cramping is incorrect. The use of oxytocin will increase, rather than decrease, afterbirth cramping. Increased maternal temperature is incorrect. The use of oxytocin will have no effect on maternal temperature. 4.A caregiver is teaching a postpartum victim about steps the caregivers will take to promote the security and safety of the victim's newborn. Which of the following statements should the caregiver make? A. "The caregiver will carry your newborn to the caregiverry for procedures." B. "We will document the relationship of visitors in your medical record." C. "Your baby will stay in the caregiverry while you are asleep." D. "Staff members who take care of your baby will be wearing a photo identification badge." Answer: "Staff members who take care of your baby will be wearing a photo identification badge."