ATI RN
Pregnancy Assessment Questions Questions
Question 1 of 5
A certified nursing assistant (CNA) is working with a registered nurse (RN) in the neonatal nursery. It would be appropriate for the nurse to delegate which of the following actions to the assistant?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) Placement of a bag on a baby for urine collection, which is appropriate for the nurse to delegate to the certified nursing assistant (CNA). The rationale for choosing C is that the task involves a non-invasive procedure that does not require specialized knowledge or assessment skills beyond the scope of practice for a CNA. Collecting urine for analysis is a routine task that can be safely performed by a CNA under the supervision of an RN. Option A, admission assessment on a newly delivered baby, requires critical thinking skills and clinical judgment that are within the RN's scope of practice. Option B, patient teaching of a neonatal sponge bath, involves providing education and requires knowledge of proper techniques and considerations, making it more appropriate for an RN to handle. Option D, hourly neonatal blood glucose assessments, involves monitoring a critical parameter that requires interpretation and potential interventions, thus falling under the RN's responsibility. This question highlights the importance of understanding scope of practice and delegation in healthcare settings. It is crucial for healthcare professionals to work within their scope and delegate tasks appropriately to ensure safe and effective patient care.
Question 2 of 5
A woman is admitted to the labor and delivery unit with active tuberculosis. She has not been under a physician's care and is not on medication. Which of the following actions should the nursery nurse perform when the neonate is delivered?
Correct Answer: A
Rationale: In this scenario, the correct action for the nursery nurse to take when the neonate of a woman with active tuberculosis is delivered is to isolate the baby from the other babies in a special care nursery (Option A). This is important to prevent the potential spread of tuberculosis to other vulnerable newborns in the nursery. Keeping the baby in the regular care nursery but separated from the mother (Option B) may still pose a risk of transmission to other babies. Isolating the baby with the mother in the mother's room (Option C) also puts the newborn at risk of exposure. Obtaining an order for antituberculosis medications for the baby (Option D) is not the primary intervention in this case, as the immediate concern is preventing the spread of the disease. Educationally, this scenario highlights the importance of understanding infection control measures, especially in the context of communicable diseases like tuberculosis, to ensure the safety and well-being of both the newborn and other patients in the healthcare setting. It underscores the need for healthcare professionals to be vigilant in implementing appropriate protocols to prevent the transmission of infectious diseases in vulnerable populations.
Question 3 of 5
The triage nurse in an obstetric clinic received the following four messages during the lunch hour. Which of the women should the nurse telephone first?
Correct Answer: A
Rationale: In this scenario, the nurse should telephone the woman who had a section incision that is leaking a whitish yellow discharge with a fever (Option A) first. This situation raises concerns about a possible post-operative infection, which could be life-threatening for the woman. Prompt medical intervention is crucial in this case to prevent complications. Option B is incorrect because contractions at 39 weeks could indicate early labor, but it is not as urgent as a possible post-operative infection. Option C, although important, does not pose an immediate threat to the woman's health compared to the other options. Option D is unrelated to pregnancy and requires a different type of intervention, making it a lower priority. From an educational standpoint, this question highlights the importance of prioritizing patient care based on the urgency of the situation. It emphasizes the need for healthcare professionals to quickly assess and address potentially life-threatening conditions, such as post-operative complications, in pregnant women. Proper triage skills are essential in ensuring the best outcomes for patients in obstetric settings.
Question 4 of 5
The health care practitioner caring for a pregnant client diagnosed with gonorrhea writes the following order: ceftriaxone 250 mg IM × one dose. The medication is available in 1-gram vials. The nurse adds 8 mL of normal saline to the vial. How many mL of the medication should the nurse administer? Calculate to the nearest whole.
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) 2 mL. When preparing ceftriaxone 1 gram powder for injection, the nurse reconstitutes it with 8 mL of normal saline. This results in a total volume of 9 mL. Since the ordered dose is 250 mg, which is a quarter of the 1-gram vial, the nurse should administer a quarter of the total volume, which is 2 mL. Option B) 3 mL is incorrect because it would be more than the calculated dose of 2 mL. Option C) 4 mL is also incorrect because it exceeds the ordered dose of 250 mg. Option D) 5 mL is not the correct answer because it is higher than the calculated dose based on the reconstitution and ordered amount. Educationally, this question assesses the nurse's understanding of medication preparation and dosage calculation in the context of treating infections during pregnancy. It reinforces the importance of accurate medication administration to ensure the safety and efficacy of treatment for both the pregnant client and the developing fetus. Understanding drug calculations is crucial for healthcare practitioners to prevent medication errors and promote optimal patient outcomes.
Question 5 of 5
A 39-week-gestation client is admitted to the labor and delivery unit for a scheduled cesarean delivery. The nurse should inform the surgeon regarding which of the following admission laboratory findings?
Correct Answer: C
Rationale: In a pregnant client at 39 weeks gestation scheduled for a cesarean delivery, a platelet count of 75,000 cells/mm3 is a crucial admission laboratory finding to inform the surgeon about. This is because a low platelet count can indicate a risk of bleeding complications during surgery, such as inadequate clotting ability, which could lead to excessive bleeding during the cesarean section. Option A, potassium level of 4.9 mEq/L, is within the normal range for adults and not specifically concerning for a scheduled cesarean delivery in this context. Option B, sodium level of 136 mEq/L, is also within normal limits and not directly relevant to the surgical procedure. Option D, white blood cell count of 15,000 cells/mm3, may indicate an infection or inflammation, but it is the platelet count that is more crucial in assessing bleeding risk during surgery. In an educational context, understanding the significance of various laboratory values in pregnancy is essential for nurses and healthcare providers caring for pregnant women. This knowledge helps in identifying potential complications, making timely interventions, and ensuring safe outcomes for both the mother and the baby during the peripartum period.