ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
The client delivered a 4200 g fetus. The physician performed a midline episiotomy which extended into a 3rd degree laceration. The client asks the nurse where she tore. Which response is best?
Correct Answer: A
Rationale: The correct answer is A: Through your rectal sphincter. A 3rd degree laceration involves the perineal body and extends through the anal sphincter muscles. This type of laceration can occur with a midline episiotomy during childbirth. The rectal sphincter is a part of the anal canal and can be torn in severe cases. Choices B, C, and D are incorrect because a 3rd degree laceration does not involve the vaginal mucosa, cervix, or bladder. The tear is specifically related to the rectal area due to the extension of the episiotomy.
Question 2 of 5
The nurse understands vitamin k is for?
Correct Answer: D
Rationale: The correct answer is D because vitamin K is responsible for the breakdown of bilirubin in the liver, which helps prevent jaundice in newborns. Bilirubin is a product of the breakdown of old red blood cells, and vitamin K plays a crucial role in this process. Choice A is incorrect as sterile bowel does not affect vitamin K synthesis. Choice B is incorrect because platelet production is not directly related to vitamin K. Choice C is incorrect as red blood cell production is mainly regulated by other nutrients like iron, vitamin B12, and folate, not vitamin K.
Question 3 of 5
The nurse is teaching the postpartum client about newborn transitional stool. Which should the nurse include in the teaching session? SATA
Correct Answer: A
Rationale: The correct answer is A because transitional stools in newborns typically have a greenish-brown color due to the presence of meconium and the changing composition of the stool as the baby starts digesting breastmilk or formula. Rationale: 1. A: Greenish-brown color is characteristic of transitional stools as meconium is being passed out. Incorrect answers: 2. B: Transitional stools are not necessarily looser in consistency. 3. C: Transitional stools are not typically described as seedy with a sweet-sour smell. 4. D: Tar-like consistency is more indicative of meconium, not transitional stools.
Question 4 of 5
What hormone is responsible for the development and maturation of the ovarian follicles?
Correct Answer: A
Rationale: Rationale: Follicle-stimulating hormone (FSH) is responsible for the development and maturation of ovarian follicles by stimulating them to grow and produce estrogen. FSH plays a crucial role in the menstrual cycle and acts on the ovaries to promote follicular development. LH surge triggers ovulation, estrogen is produced by the developing follicles and progesterone is primarily produced after ovulation by the corpus luteum. Therefore, A is correct as it directly influences the growth and maturation of ovarian follicles.
Question 5 of 5
What should health-care providers be attentive to during the trauma-informed gynecologic examination to avoid retraumatization? Select all that apply.
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. B: Establishing safety and trust is crucial to avoid retraumatization during the examination. It helps create a secure environment for the patient. C: Recognizing signs of distress and offering support shows empathy and helps address any emotional reactions that may arise during the examination. D: Using trauma-sensitive language and communication is essential to avoid triggering past traumas and ensuring clear and respectful communication. Choices A is incorrect because while providing information about trauma support resources is important, it is not directly related to avoiding retraumatization during the examination.