ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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). During pregnancy, elevated blood glucose levels can indicate gestational diabetes, which can pose risks to both the mother and the fetus. A fasting blood glucose level of 180 mg/dL is significantly above the normal range of 74 to 106 mg/dL and warrants immediate attention from the healthcare provider to initiate appropriate management and monitoring.
Choice A (Hematocrit 37%): Falls within the normal range for a pregnant woman and does not raise immediate concerns.
Choice B (Creatinine 0.9 mg/dL): Within the normal range and not typically a cause for concern at this level.
Choice C (WBC count 11,000/mm3): Slightly elevated but can be a normal physiological response to pregnancy due to increased blood volume and does not necessarily indicate a problem.
In summary, the other choices do not indicate an urgent issue requiring immediate provider notification
Question 2 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 to prevent skin irritation and infection in newborns. Washing the baby's face with plain water helps to keep the delicate skin clean without introducing any harsh chemicals or irritants. It is gentle and safe for the baby's sensitive skin.
Summary of why the other choices are incorrect:
A: Bathing the baby immediately after a feeding can lead to discomfort and potential issues with digestion.
B: Placing a bumper pad in the baby's crib increases the risk of suffocation and Sudden Infant Death Syndrome (SIDS).
C: Putting a soft mattress in the crib can pose a suffocation hazard and increase the risk of SIDS.
E, F, G: No additional choices provided.
Question 3 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted births can put pressure on the baby's face, leading to facial nerve injury and subsequent facial palsy. This can result in weakness or paralysis of facial muscles. Polycythemia (choice
A) is not typically associated with forceps-assisted births. Hypoglycemia (choice
B) may occur in newborns for various reasons, but it is not directly related to the birth method. Bronchopulmonary dysplasia (choice
C) is a lung condition usually seen in premature infants, not specifically linked to forceps deliveries. In summary, facial palsy is the most likely complication of forceps-assisted births due to the pressure exerted on the baby's face during the delivery process.
Question 4 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is known to cause breast tenderness as a common adverse effect due to its estrogen-like effects. This occurs because clomiphene citrate can increase estrogen levels in the body, leading to breast discomfort. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to ototoxic medications, urinary frequency may occur with diuretics, and chills are often seen with infections or febrile illnesses.
Therefore, the nurse should emphasize breast tenderness as a potential side effect of clomiphene citrate to the client.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Applying the ointment immediately after birth may interfere with the crucial bonding process between the newborn and the parent. It is important for the parent to have uninterrupted skin-to-skin contact and establish a strong emotional connection with the newborn during the first moments after birth. This bonding time is essential for the newborn's emotional well-being and can have long-lasting positive effects on their development. Delaying the instillation of the ointment allows for this important bonding process to occur naturally.
Choice A is incorrect because early identification of infection is crucial and should not be delayed.
Choice B is unrelated to the instillation of ointment.
Choice C is also unrelated, as the mode of delivery does not affect the timing of ointment instillation.