ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.
Correct Answer: A,B,CD
Rationale: The correct sequence for performing Leopold maneuvers is A, B, C, and D. Firstly, palpating the fundus to identify the fetal part helps determine the position of the baby in the uterus. Secondly, determining the location of the fetal back provides information on the baby's position relative to the mother's spine. Thirdly, palpating for the fetal part presenting at the inlet helps identify which part of the baby is entering the birth canal. Lastly, identifying the attitude of the head gives insight into how the baby is positioned within the pelvis for delivery. This sequential approach allows for a systematic assessment of fetal position and presentation. The other choices are incorrect as they do not follow the correct order of Leopold maneuvers, which can lead to inaccurate assessment and potential complications during labor and delivery.
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess fetal well-being by monitoring the baby's heart rate and uterine contractions. Oligohydramnios, which is low amniotic fluid levels, can indicate fetal distress and compromise, necessitating closer monitoring. Hyperemesis gravidarum (
B) is severe nausea and vomiting, not directly related to fetal monitoring. Leukorrhea (
C) is normal vaginal discharge during pregnancy and not a reason for fetal monitoring. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 3 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale: The correct answer is A: Ensure that the parent's identification band number matches the newborn's identification band number. This is crucial for patient safety and identification to prevent mix-ups. Matching the identification band numbers ensures that the newborn is returned to the correct parent. Checking the parent's identification ensures that the parent is indeed the one authorized to receive the newborn.
Choices B, C, and D do not directly address the vital step of verifying the parent-newborn match through identification band numbers, making them incorrect.
Question 4 of 5
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Have calcium gluconate readily available. Magnesium sulfate can lead to magnesium toxicity, causing muscle weakness, respiratory depression, and cardiac arrest. Calcium gluconate is the antidote for magnesium sulfate toxicity, as it antagonizes the effects of magnesium on skeletal muscle and cardiac function. It is essential to have calcium gluconate readily available in case of magnesium toxicity.
Incorrect
Choices:
A: Restricting hourly fluid intake is not necessary for a client with preeclampsia receiving magnesium sulfate IV.
C: Assessing deep tendon reflexes every 6 hours is not the most critical action to take to prevent or manage magnesium toxicity.
D: Monitoring intake and output every 4 hours is important for overall client assessment but is not directly related to managing magnesium toxicity in this scenario.
Question 5 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn within the first 24 hours of life can be indicative of pathological conditions such as hemolytic disease or liver dysfunction. The nurse should report this to the provider promptly for further evaluation and management. Acrocyanosis (
A) and caput succedaneum (
D) are common and normal findings in newborns. Transient strabismus (
B) is also common and typically resolves on its own. Make sure to assess for any other concerning symptoms and report them as well.