ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. In a client with peripartum cardiomyopathy, monitoring blood pressure is crucial to detect worsening heart function and potential complications. Assessing blood pressure twice daily allows for early detection of hypertension or hypotension, which can indicate cardiac decompensation. Misoprostol (
Choice
A) is not indicated in this scenario. Restricting fluid intake (
Choice
C) can lead to dehydration and worsen the client's condition. Administering an IV bolus of lactated Ringer's (
Choice
D) may not be appropriate without assessing the client's fluid status first.
Question 2 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, C, D
Rationale: The correct sequence for performing Leopold maneuvers is A, B, C, D. Firstly, instructing the client to empty their bladder (
A) allows for better visualization and palpation of the fetus. Positioning the client supine with knees flexed and a rolled towel under one hip (
B) helps relax the abdomen and facilitate palpation. Palpating the fetal part in the fundus (
C) helps determine the fetal presentation and position. Finally, palpating the fetal parts along both sides of the uterus (
D) aids in assessing the fetal lie and engagement.
Choices E, F, and G are not relevant to the correct sequence of Leopold maneuvers.
Question 3 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D, malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, resulting in a foul-smelling, frothy, greenish-yellow vaginal discharge. This discharge is a hallmark symptom of trichomoniasis and is often accompanied by vaginal itching and discomfort. Thick, white discharge (choice
A) is more indicative of a yeast infection. Urinary frequency (choice
B) is not a typical symptom of trichomoniasis. Vulva lesions (choice
C) are more commonly associated with herpes or syphilis.
Therefore, based on the client's gestational age and diagnosis, malodorous discharge is the most likely finding.
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." This response is appropriate because GBS status can change during pregnancy, and testing closer to the delivery date provides the most up-to-date information. Testing earlier in pregnancy may not accurately reflect the GBS status at the time of delivery.
Choice A is incorrect because the presence of symptoms is not a reliable indicator of GBS status.
Choice B is incorrect as past negative GBS results do not guarantee the current status.
Choice C is incorrect because GBS screening is typically done later in pregnancy regardless of earlier test results.
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Assessing the newborn's latch while breastfeeding is crucial in addressing sore nipples. A poor latch can lead to nipple pain. By ensuring proper latch, the nurse can help alleviate the client's discomfort. Other actions are incorrect:
A: Waiting 4 hr between feedings can lead to engorgement and worsen nipple soreness.
C: Limiting breastfeeding time to 5 min can hinder milk supply and not address the root cause.
D: Offering supplemental formula can interfere with establishing breastfeeding and may not address the latch issue.