ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
16wks gestation reports for a triple screen test. What statements determines understanding?
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. A triple screen test includes assessing alpha-fetoprotein, hCG, and estriol levels. 2. These values help determine the risk for neural tube defects and chromosomal trisomies. 3. The test does not directly diagnose spina bifida but assesses neural tube defects. 4. Down syndrome risk is also evaluated, not diagnosed directly. 5. Answer D provides a comprehensive explanation of the test components and its purpose, aligning with the test's actual function. Summary of why other choices are incorrect: A. Incorrect because the test screens for neural tube defects and chromosomal trisomies, not just spina bifida. B. Incorrect because the test is a screening tool for specific conditions, not a definitive diagnostic test. C. Incorrect because the test assesses multiple conditions, not just Down syndrome specifically.
Question 2 of 5
A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone gel. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: "This medication promotes softening of the cervix." Dinoprostone gel is a prostaglandin used to ripen the cervix in preparation for labor induction. This explanation is crucial for the client to understand the purpose of the medication. Option B is incorrect because dinoprostone is not used to treat preeclampsia. Option C is incorrect as dinoprostone causes uterine contractions rather than relaxation. Option D is incorrect as dinoprostone is not used to treat genital herpes simplex virus.
Question 3 of 5
A nurse is caring for a client who experienced a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse complete at this time?
Correct Answer: C
Rationale: Correct Answer: C - Have the client urinate. Rationale: 1. Displacement to the right of midline indicates a full bladder pushing the fundus. 2. A full bladder can prevent the fundus from contracting properly. 3. Having the client urinate will help the bladder empty, allowing the fundus to contract effectively and prevent complications like postpartum hemorrhage. Summary of Incorrect Choices: A: Massaging the fundus is not necessary as it is already firm. B: Inserting a urinary catheter is invasive and should be avoided unless necessary. D: Administering an analgesic is not indicated for fundus displacement; addressing the full bladder is the priority.
Question 4 of 5
A new mother asks the nurse why newborns receive an injection of vit. K after delivery. What will be the best response from the nurse?
Correct Answer: C
Rationale: The correct answer is C. Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes. Vitamin K is essential for blood clotting, and newborns have lower levels at birth. Without enough vitamin K, newborns are at risk of bleeding issues. Giving them a vitamin K injection helps prevent potential bleeding disorders. Choice A is incorrect because vitamin K is not given for digestion or fat absorption. Choice B is incorrect as erythromycin ointment is used for preventing eye infections, not related to vitamin K injections. Choice D is incorrect as vitamin K does not substitute for vitamin C, and it is not primarily for strengthening the immune system.
Question 5 of 5
A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:
Correct Answer: B
Rationale: The correct answer is B because phototherapy works by breaking down unconjugated bilirubin in the skin to a water-soluble form, allowing it to be excreted from the body. This process does not activate the liver (choice A), nor does it activate Vitamin K (choice C) or dissolve the bilirubin for excretion from the skin (choice D). Phototherapy specifically targets the unconjugated bilirubin in the skin, converting it to a form that can be eliminated through the urine and stool.