ATI RN
ATI Maternal Newborn Questions
Question 1 of 5
Which client teaching instruction is necessary for a pregnant client who is to undergo a glucose challenge test (GCT) as part of a routine pregnancy treatment plan at 28 weeks?
Correct Answer: A
Rationale: The correct answer is A: No dietary restriction (done 24-28 weeks' gestation). This is because the glucose challenge test (GCT) is typically performed between 24-28 weeks of gestation to screen for gestational diabetes. It is important not to have any dietary restrictions before the test to ensure accurate results. Restricting food intake before the test can lead to false results. Other choices are incorrect because they do not align with the standard practice of performing the GCT between 24-28 weeks and avoiding dietary restrictions before the test.
Question 2 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 3 of 5
A patient vaginally delivered an infant at 4750 g moderate shoulder dystocia occurred during the birth. During the initial assessment of the infant the nurse should look for
Correct Answer: C
Rationale: The correct answer is C: Bradycardia. During shoulder dystocia, the infant may experience umbilical cord compression leading to decreased oxygen supply and potential bradycardia. Bradycardia is a critical sign that requires immediate attention. Erb's palsy (A) is a brachial plexus injury due to shoulder dystocia, not an immediate concern. Bell palsy (B) is a facial nerve paralysis unrelated to birth trauma. Petechiae (D) are small red or purple spots that may indicate bleeding disorders but are not specific to shoulder dystocia.
Question 4 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 5 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.