ATI RN
Maternal Newborn ATI Quizlet Questions
Question 1 of 5
Which of the following findings would indicate
Correct Answer: D
Rationale: The correct answer is D because plantar creases covering two-thirds of the foot is a typical finding in Down syndrome. This is known as the Sandal gap sign, which is a characteristic feature of Down syndrome. The other choices are incorrect because: A is not related to any specific medical condition, B describes a normal anatomical variation, and C is incomplete and does not provide enough information to determine its relevance.
Question 2 of 5
A nurse is caring for a client who is receiving Iv magnesium sulfate which of the following medication should the nurse anticipate administering if magnesium sulfate toxicity is suspected?
Correct Answer: D
Rationale: The correct answer is D: Calcium gluconate. In cases of magnesium sulfate toxicity, calcium gluconate is administered as an antidote due to its ability to counteract the effects of magnesium. Magnesium and calcium ions have an antagonistic relationship in the body, so administering calcium gluconate can help reverse the toxic effects of magnesium. Nifedipine (A), Pyridoxine (B), and Ferrous sulfate (C) do not have a direct antidote effect on magnesium toxicity and are not indicated for this purpose.
Question 3 of 5
A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?
Correct Answer: A
Rationale: Step 1: Methylergonovine is a uterotonic drug used to prevent or treat postpartum hemorrhage by causing uterine contractions. Step 2: Fundus firmness indicates effective contraction of the uterus, helping to control bleeding. Step 3: A firm fundus also suggests proper involution of the uterus, a crucial process in postpartum recovery. Step 4: Increase in blood pressure (B) is not a desired effect of methylergonovine and could indicate adverse reactions. Step 5: Increase in lochia (C) could suggest excessive bleeding or incomplete uterine contraction. Step 6: Absence of breast pain (D) is not directly related to the effectiveness of methylergonovine in controlling postpartum bleeding.
Question 4 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C: "This is a cephalhematoma, which can occur spontaneously." 1. Cephalhematoma is a subperiosteal hemorrhage that does not cross suture lines and is due to trauma during delivery. 2. Caput succedaneum (choice B) occurs due to pressure during labor and resolves within a few days. 3. Mongolian spots (choice A) are benign bluish-grey birthmarks commonly found in newborns and are not related to head swelling. 4. Erythema toxicum (choice D) is a common rash in newborns, not related to head swelling. In summary, the correct choice is C because it accurately describes the condition observed in the newborn after vacuum-assisted delivery.
Question 5 of 5
A nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A
Rationale: Correct Answer: A - Blot the perineal area dry after cleansing. Rationale: Blotting the perineal area dry after cleansing helps prevent moisture accumulation, reducing the risk of perineal infection. Moisture can create a favorable environment for bacterial growth and infection. This practice also helps maintain skin integrity and promotes healing post-vaginal delivery. Summary of other choices: B: Cleaning the perineal area from front to back is important to prevent introducing fecal bacteria to the urinary tract but is not directly related to reducing perineal infection. C: Performing hand hygiene before and after voiding is crucial for infection prevention but does not directly address reducing perineal infection. D: Washing the perineal area using a squeeze bottle of warm water after each voiding can be beneficial for cleanliness but does not specifically address reducing perineal infection like blotting dry after cleansing does.