ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
A nurse is reviewing the laboratory results for a client who is at 29 weeks.... the provider?
Correct Answer: B
Rationale: The correct answer is B: 11,000/mm³ Hgb. At 29 weeks of gestation, hemoglobin (Hgb) levels are crucial to monitor for anemia in pregnant women. A Hgb level of 11,000/mm³ is within the normal range for a pregnant woman. Anemia during pregnancy can lead to adverse outcomes for both the mother and the baby, such as preterm birth and low birth weight. Rationale for other choices: A: WBC count - While monitoring white blood cell (WBC) counts is important for detecting infections, it is not the most relevant parameter to review in this scenario. C: 11,2 g/Dl - This choice is incomplete and doesn't provide a specific parameter or context for interpretation. D: Hct 34% Platelets 140,000/mm³ - Hematocrit (Hct) and platelet levels are important, but in this case, the Hgb level is more pertinent
Question 2 of 5
A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?
Correct Answer: B
Rationale: The correct answer is B because seeing the healthcare provider every 2 weeks may not be frequent enough for monitoring a pregnant patient with a heroin habit. Regular monitoring is crucial for the well-being of both the mother and the baby. Option A shows a proactive approach for daily treatment, Option C is incorrect as methadone does not eliminate the risk of withdrawal in newborns, and Option D is incorrect as methadone does not reduce the risk of infection. Regular and close monitoring is essential in such cases to ensure the safety and health of both the mother and the baby.
Question 3 of 5
The nurse is educating a prenatal client about weight dysphoric disorder. Which statement by the client gain during pregnancy. Which statement by the would require immediate follow-up? client indicates effective understanding?
Correct Answer: C
Rationale: Correct Answer: C. "I am experiencing suicidal thoughts." Rationale: This statement indicates a serious mental health concern that requires immediate follow-up. Suicidal thoughts during pregnancy can be a sign of depression or other mental health issues that need to be addressed promptly to ensure the safety and well-being of the client and the baby. Summary of Other Choices: A: "I have been crying the week of my period." - This statement suggests premenstrual symptoms which are common and not necessarily alarming during pregnancy. B: "I should gain 2 to 4 pounds in the first trimester and half a pound per week in the last two trimesters." - This statement reflects a correct understanding of weight gain recommendations during pregnancy and does not raise immediate concerns. D: "My menstrual cycle is 1 week late." - This statement is not concerning during pregnancy as menstrual cycles typically stop during pregnancy.
Question 4 of 5
As the infant nursery nurse, you are assisting with a
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Determine dilation of the cervix): 1. It is crucial to monitor the progress of labor by assessing cervical dilation. 2. Cervical dilation indicates the stage of labor and helps determine when the mother is ready to push. 3. This information guides the healthcare team in providing appropriate care and support during delivery. 4. Assessing fetal station or rupture of membranes is important but determining cervical dilation is the priority. Summary: - Option A is incorrect because assessing fetal station is not the immediate next step. - Option B is incorrect as assessing for rupture of membranes is important but not the next immediate action. - Option D is incorrect as giving the infant a bath is not a priority in the labor and delivery process.
Question 5 of 5
What statement by a health-care provider is an example of shared decision making between a health-care provider and a patient?
Correct Answer: D
Rationale: The correct answer is D because it involves the patient in the decision-making process by asking for their readiness to make a decision after discussing the medication. This approach respects the patient's autonomy and encourages them to actively participate in their healthcare choices. A is incorrect as it does not involve the patient in the decision-making process but rather imposes the provider's choice. B is incorrect as it uses authority to influence the patient's decision, which is not in line with shared decision making. C is incorrect as it focuses on convenience rather than involving the patient in the decision-making process.