ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 2 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Contact precautions. Contact precautions are necessary when a patient has an infection that spreads through direct or indirect contact. This includes wearing gloves, gowns, and proper hand hygiene. Droplet precautions (choice
A) are for infections spread through respiratory droplets, airborne precautions (choice
C) are for infections spread through airborne particles, and protective environment (choice
B) is for patients with compromised immune systems. The other choices are not relevant to the scenario described.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 3 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: C
Rationale:
Correct
Answer: C. Third-degree perineal laceration is a contraindication to the use of a suppository due to the risk of causing further trauma and infection. Suppositories are typically inserted rectally, and in the case of a third-degree perineal laceration, there is a significant risk of exacerbating the injury and delaying healing.
Incorrect
Choices:
A: Vaginal candidiasis - This is not a contraindication as suppositories can be used in the vagina for treating candidiasis.
B: Afterpains - Afterpains are not a contraindication for the use of a suppository.
D: Abdominal distention - Abdominal distention is not a direct contraindication to the use of a suppository unless it is due to a specific condition that may be worsened by the suppository.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 4 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: A
Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 5 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.