ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: The car seat should be positioned in the car at a 45-degree angle. This statement demonstrates understanding because newborns who were born at 38 weeks of gestation may have poor muscle tone and need their car seat reclined at a 45-degree angle to keep their airway open. This position helps prevent the baby's head from falling forward and potentially obstructing their breathing.
Choice A is incorrect because using a sleep sack in a car seat can interfere with the proper fit and function of the harness system.
Choice B is incorrect because a car seat challenge test is typically done for preterm infants to assess their ability to sit safely in a car seat, not for full-term newborns.
Choice D is incorrect because current guidelines recommend keeping infants in a rear-facing car seat until at least 2 years of age, not turning it forward-facing at 1 year old.
Question 2 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps prevent aortocaval compression, a potential cause of hypotension after epidural anesthesia. When the client is lying on their back, the weight of the uterus can compress the vena cava, reducing venous return and cardiac output, leading to hypotension. Turning the client to a side-lying position relieves this compression, improving blood flow and helping to stabilize blood pressure.
Summary:
B: Applying oxygen may be beneficial in some cases, but it does not directly address the underlying cause of hypotension in this scenario.
C: Massaging the fundus is not indicated for hypotension following epidural anesthesia.
D: Assisting the client to empty their bladder may be important for overall comfort and prevention of complications, but it does not address the hypotension directly.
Question 3 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 4 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 5 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.