ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a cool sitz bath. This action helps reduce perineal swelling and discomfort postpartum. Cooling the area constricts blood vessels, decreases inflammation, and provides relief.
Choice B is incorrect as methylergonovine is used to prevent or treat postpartum hemorrhage, not for perineal care.
Choice C is incorrect because warm compresses can increase swelling and discomfort.
Choice D is incorrect as povidone-iodine can be too harsh and delay healing.
Extract:
A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Restrict daily oral fluid intake. In a scenario where fluid restriction is necessary, the nurse should plan to limit the patient's oral fluid intake to help manage a specific condition such as heart failure or kidney disease. This action helps prevent fluid overload, which can lead to complications like edema and worsening of the patient's condition. Assessing blood pressure (
B) is important but not the most relevant action in this context. Administering an IV bolus of lactated Ringer's (
A) is not appropriate without a specific indication. Obtaining a prescription for misoprostol (
D) is not relevant to fluid management.
Extract:
A nurse is caring for a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 3 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 4 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because emptying the bladder before the procedure is essential to avoid discomfort and potential complications. Other choices are incorrect as they do not directly relate to the procedure or indicate understanding. A: Irrelevant to the procedure. B: Excessive fasting is unnecessary. C: Positioning is not crucial for understanding. E, F, G: Unknown options.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 5 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.