ATI RN
ATI Capstone Maternal Newborn Questions
Extract:
Client reports intermittent dark brown vaginal discharge for the past three days.
Question 1 of 5
A client reports an intermittent dark brown vaginal discharge for the past three days. What should the nurse do?
Correct Answer: A
Rationale: Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.
Extract:
Question 2 of 5
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding intercourse for 24 hours minimizes contamination of cervical cells with external materials, ensuring accurate Pap test results. It is an important preparatory guideline.
Extract:
Newborn born two hours ago at 36 weeks gestation, findings: Bruising noted over occiput, yellowish hue on sclera and skin blanching, transcutaneous bilirubin level 12.5 mg/dL, phototherapy initiated.
Question 3 of 5
A newborn born two hours ago at 36 weeks gestation has noted findings. Which findings are consistent with neonatal jaundice?
Correct Answer: B,C,D
Rationale: Yellowish sclera and blanching skin (
B), transcutaneous bilirubin level of 12.5 mg/dL (
C), and phototherapy initiation (
D) indicate neonatal jaundice from elevated bilirubin levels due to immature hepatic conjugation, requiring monitoring and treatment to prevent kernicterus.
Extract:
Question 4 of 5
A nurse is caring for a client. Which of the following interventions should the nurse perform?
Correct Answer: B
Rationale: Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.
Extract:
Client with fibrocystic breast changes experiencing breast discomfort during menstruation.
Question 5 of 5
A nurse is providing teaching to a client who has fibrocystic breast changes and is experiencing breast discomfort during menstruation. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Alcohol consumption can worsen fibrocystic breast discomfort due to its estrogen-modulating effects, which may exacerbate hormonal fluctuations during menstruation, increasing breast pain and sensitivity.