ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale: The correct answer is D because pressing the handheld button when feeling the baby move helps monitor fetal heart rate and movements during the test. This action allows healthcare providers to assess the baby's well-being.
Choice A is incorrect as the test duration varies.
Choice B is wrong as the client should lay on their left side, not supine, to prevent compression of the vena cava.
Choice C is incorrect as eating and drinking are not restricted before the test.
Question 2 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Levonorgestrel is an emergency contraception pill effective if taken within 72 hours post unprotected sex. This is crucial information for the adolescent to prevent pregnancy.
Choice B is incorrect as it does not interact with oral contraceptives.
Choice C is incorrect as missing a period does not necessarily indicate pregnancy.
Choice D is incorrect as it only provides immediate protection, not for 14 days.
Question 3 of 5
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Temperature. During an amniotomy, there is an increased risk of infection due to the introduction of bacteria into the uterine cavity. Monitoring the client's temperature is crucial to detect any signs of infection promptly. A sudden spike in temperature could indicate chorioamnionitis, a serious infection that can harm both the mother and the baby. O2 saturation (
A), blood pressure (
C), and urinary output (
D) are important assessments but are not the priority in this situation. Monitoring O2 saturation is essential for fetal well-being but is not directly related to the amniotomy procedure. Blood pressure monitoring is significant for detecting any changes in maternal status, but infection assessment takes precedence in this case. Urinary output is essential for assessing hydration status and kidney function, but infection monitoring is more critical during an amniotomy.
Question 4 of 5
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
Correct Answer: A
Rationale: The correct answer is A because laying the newborn across the lap and gently swaying helps provide comfort and bonding, mimicking the soothing motion in the womb. This action promotes a secure attachment between the guardian and the newborn. Placing the newborn in a crib in a prone position (
B) is unsafe and increases the risk of sudden infant death syndrome (SIDS). Offering a pacifier dipped in formula (
C) can introduce unnecessary calories and increase the risk of overfeeding. Preparing a bottle of formula mixed with rice cereal (
D) is not appropriate for a newborn and can lead to digestive issues.
Question 5 of 5
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Prior to applying an external transducer for fetal monitoring at 38 weeks of gestation, the nurse should perform Leopold maneuvers to determine the position of the fetus, fetal lie, presentation, and engagement. This helps in locating the fetal back and identifying the optimal placement for the transducer. Progression of dilatation and effacement (choice
A) is more relevant for labor assessment. Completing a sterile speculum exam (choice
C) is not necessary for fetal monitoring. Preparing a Nitrazine paper test (choice
D) is used to assess for rupture of membranes, not for applying an external transducer.