ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale:
Rationale: The correct answer is D. In the occipitoposterior position, the fetus's head is pressing against the mother's sacrum, causing intense back pain known as back labor. By asking if the back labor has improved, the nurse can assess if the hands-and-knees position has helped relieve the pressure on the mother's sacrum, indicating effectiveness.
Incorrect
Choices:
A: Suprapubic pain is not directly related to the occipitoposterior position or the hands-and-knees position.
B: Pelvic pressure may not necessarily be alleviated by changing positions in occipitoposterior position.
C: Contractions feeling further apart may not directly correlate with the effectiveness of the hands-and-knees position for back labor relief.
Question 2 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps to reduce pain and swelling, promotes healing, and improves comfort. Moist heat increases blood flow to the area, which can aid in the healing process.
Choice B: Providing a cool sitz bath may provide some relief from discomfort, but warm compresses are more effective for promoting healing in this case.
Choice C: Administering methylergonovine is not indicated for a fourth-degree perineal laceration. This medication is used to prevent or control postpartum hemorrhage.
Choice D: Applying povidone-iodine to the perineum is not recommended as it may cause irritation and delay healing.
In summary, choice A is the most appropriate action as it promotes healing and comfort for the client with a fourth-degree perineal laceration.
Choices B, C, and D are not recommended in this situation.
Question 3 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. Maintaining a healthy weight is crucial for fertility as being underweight or overweight can negatively impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can lead to irregular periods or anovulation. By suggesting this nonpharmacological treatment, the nurse is addressing a key factor in optimizing fertility. Drinking herbal tea (
B) and taking hot baths (
D) do not have a direct impact on fertility. Using a lubricant during intercourse (
A) may actually hinder conception by affecting sperm motility.
Question 4 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). A high fasting blood glucose level during pregnancy may indicate gestational diabetes, which can lead to complications for both the mother and the fetus. The nurse should report this finding to the provider for further evaluation and management to prevent adverse outcomes.
Choice A: Hematocrit of 37% falls within the normal range for a pregnant woman and does not require immediate reporting.
Choice B: Creatinine level of 0.9 mg/dL is within the normal range and does not indicate any immediate concerns.
Choice C: WBC count of 11,000/mm3 is slightly elevated but can be a normal response to pregnancy and does not typically require immediate action.
In summary, the correct answer is D because it indicates a potentially serious condition that requires further investigation, while choices A, B, and C are within normal limits for pregnancy and do not raise immediate concerns.
Question 5 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This instruction is important because newborns have sensitive skin that can easily become irritated by soaps or cleansers. Using plain water is gentle and safe for the baby's delicate skin. Additionally, washing the baby's face helps to keep the area clean and prevent any buildup of milk or debris that can lead to skin irritation or infections.
Choice A is incorrect because bathing a baby immediately after a feeding can increase the risk of spitting up or discomfort due to handling on a full stomach.
Choice B is incorrect as bumper pads pose a suffocation risk for infants.
Choice C is incorrect because a soft mattress can increase the risk of Sudden Infant Death Syndrome (SIDS).