ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can potentially worsen the injury and increase the risk of infection. The suppository insertion may cause trauma to the already compromised tissue, leading to further complications. It is crucial to avoid any interventions that can exacerbate the injury and hinder the healing process.
Choices A, B, and C are not contraindications to using a suppository. Vaginal candidiasis, abdominal distention, and afterpains do not directly impact the safety or effectiveness of using a suppository in this scenario.
Question 2 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: 8 tablets.
To calculate the dose, divide the total dose by the dose per tablet. In this case, 2 g equals 2000 mg.
Therefore, divide 2000 mg by 250 mg (dose per tablet), which equals 8 tablets. Each tablet contains 250 mg, so to reach the total dose of 2000 mg, the nurse needs to administer 8 tablets.
Choice B (4 tablets) is incorrect because it would only provide 1000 mg, not the required 2000 mg.
Choice C (2 tablets) would provide only 500 mg, not the required dose.
Choice D (1 tablet) would provide only 250 mg, which is insufficient.
Question 3 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: C, D
Rationale: The correct manifestations of SSRI withdrawal in a newborn are bradypnea and vomiting. SSRIs can cross the placenta, causing the newborn to experience withdrawal symptoms due to drug discontinuation postnatally. Bradypnea, slow breathing, and vomiting are common withdrawal symptoms in newborns exposed to SSRIs in utero. Large for gestational age and hyperglycemia are not typical manifestations of SSRI withdrawal. Large for gestational age is more related to maternal factors such as gestational diabetes, while hyperglycemia is not a common withdrawal symptom of SSRIs.
Question 4 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to increased risk of gallbladder disease with oral contraceptives. Hypertension is a contraindication because estrogen in oral contraceptives can worsen hypertension. Migraine headaches with aura are a contraindication due to increased risk of stroke. Human papillomavirus is not a contraindication unless it is accompanied by other conditions.
Question 5 of 5
A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for intramuscular injections due to its large muscle mass, minimal nerves and blood vessels, and reduced risk of hitting bone. It is located on the lateral aspect of the thigh and is easily accessible for injections. This site also allows for proper absorption of the medication. The other options are not ideal for newborns: B: Dorsogluteal is not recommended due to the risk of damaging the sciatic nerve, C: Deltoid is typically used for older children and adults, and D: Rectus femoris is not a common site for IM injections in newborns.