ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Question 1 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 for newborn care as it helps prevent skin irritation and infection. Washing with plain water is gentle and safe for the baby's delicate skin. Other choices are incorrect: A is incorrect because bathing immediately after a feeding can lead to discomfort and potential regurgitation. B is incorrect as bumper pads pose a suffocation hazard for infants. C is incorrect as a soft mattress increases the risk of sudden infant death syndrome.
Question 2 of 5
A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Determine respiratory function. The first priority in an unresponsive client is to assess their airway, breathing, and circulation (ABCs). Respiratory function is crucial for oxygenation and maintaining vital signs. If a client is unresponsive, assessing their respiratory status is essential to determine if they are breathing or in need of immediate intervention like CPR. Increasing IV fluid rate (
B) is not the priority as the client's respiratory status needs to be assessed first. Accessing emergency medications (
C) is not the immediate priority as the client's airway and breathing take precedence. Collecting a blood sample (
D) may be necessary later but is not the first action in an unresponsive client.
Question 3 of 5
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
Correct Answer: B
Rationale: The correct answer is B: Leakage of fluid from the vagina. After an amniocentesis, leakage of amniotic fluid from the vagina can indicate a potential complication like premature rupture of membranes. This complication can lead to preterm labor and delivery, endangering both the mother and the fetus. Reporting this finding promptly to the provider allows for timely intervention to prevent further complications. Increased fetal movement , upper abdominal discomfort , and urinary frequency are common and expected after an amniocentesis and do not necessarily indicate a complication.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule adds 7 days to the first day of the last menstrual period (August 10), then subtracts 3 months and adds 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is incorrect because it doesn't account for adding the additional 7 days.
Choice C (May 3) is incorrect because it miscalculates the subtraction of 3 months.
Choice D (May 20) is incorrect as it adds the 7 days but doesn't subtract 3 months.
Question 5 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: "How much protein do you eat in a day?" This question is essential because a vegan diet may lack sufficient protein, crucial for fetal development. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs.
Option B is incorrect because Vitamin C is not typically a major concern for vegans as it is abundant in fruits and vegetables. Option C is incorrect as shellfish is not suitable for a vegan diet. Option D is irrelevant as the client's choice to avoid meat is already known.