ATI RN
RN Maternal Newborn Online Practice 2019 A Questions
Question 1 of 5
A patient who uses a diaphragm as contraception asks if they need to use a backup method. What should the nurse respond?
Correct Answer: B
Rationale: The diaphragm should be used with spermicide for maximum effectiveness. Choice A is incorrect because while the diaphragm is effective, spermicide enhances its performance and ensures greater protection. Choice C is unnecessary, as the diaphragm alone with spermicide is sufficient. Choice D is incorrect because while regular replacement is recommended, it does not require a backup method.
Question 2 of 5
The patient asks the nurse when her Nexplanon can be inserted. How does the nurse respond?
Correct Answer: A
Rationale: The nurse would respond with option A, "after the delivery of your placenta." Nexplanon is a hormonal contraceptive implant that is typically inserted in the upper arm subdermally. It is recommended to wait until after the delivery of the placenta to reduce the risk of causing any harm to the fetus during pregnancy or labor. Inserting Nexplanon during labor or delivery is not recommended due to the potential risks involved.
Question 3 of 5
A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. In pregnant individuals, trichomoniasis can result in adverse pregnancy outcomes such as preterm birth and low birth weight. A common symptom of trichomoniasis is a frothy, yellow-green, malodorous vaginal discharge. Therefore, in this client scenario, the nurse should expect to find a malodorous discharge as a result of trichomoniasis. The other options presented are not typically associated with trichomoniasis.
Question 4 of 5
A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?
Correct Answer: C
Rationale: The nurse should notify the provider for the client who is receiving magnesium sulfate and has absent deep tendon reflexes. Absent deep tendon reflexes are a sign of magnesium toxicity, which can lead to serious complications such as respiratory depression, cardiac arrest, and death. Prompt intervention by the provider is necessary to adjust the magnesium sulfate dosage and prevent further harm to the client.
Question 5 of 5
A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The priority action for a client experiencing hypovolemic shock is to restore circulating volume. Inserting a second IV using a 22-gauge catheter would allow for rapid administration of IV fluids to help restore blood volume and improve circulation. This intervention is crucial in managing hypovolemic shock to prevent further complications and stabilize the client's condition. Administering indomethacin, inserting an indwelling urinary catheter, or administering oxygen, while potentially necessary in some cases, are not the immediate priority in managing hypovolemic shock.