ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease. Hypertension is a contraindication as it can be exacerbated by oral contraceptives. Migraine headaches with aura are a contraindication due to increased risk of stroke. Human papillomavirus is not a contraindication.
Question 2 of 5
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rho(
D) immune globulin. This is the priority intervention because the client is Rh-negative, and an amniocentesis can lead to fetal-maternal blood incompatibility. Administration of Rho(
D) immune globulin helps prevent the mother from developing antibodies against Rh-positive fetal blood cells, reducing the risk of hemolytic disease in the fetus. Checking the client's temperature (
A) is important but not the priority immediately following an amniocentesis. Observing for uterine contractions (
B) is not the priority unless there are signs of preterm labor. Monitoring the FHR (
D) is essential but not the priority immediately post-amniocentesis.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 3 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: Hematuria and Proteinuria 2+ are relevant findings indicating potential worsening conditions. Hematuria suggests possible kidney injury, while Proteinuria 2+ can indicate renal dysfunction. Leukorrhea and Positive clonus are unrelated to the diagnosis and do not provide information on the client's condition 24 hr later. BUN and platelet count are not provided in the table, so they cannot be considered for interpretation at this time.
Extract:
Question 4 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because staff wearing photo identification badges ensures proper identification and security for the newborn. This measure helps prevent unauthorized individuals from accessing the baby.
Choice A is incorrect as it compromises the safety of the newborn by potentially exposing them to unnecessary risks during transport.
Choice B is irrelevant to the security and safety of the newborn.
Choice C is incorrect as it goes against safe sleep practices that recommend infants sleep in a separate crib to reduce the risk of Sudden Infant Death Syndrome (SIDS).
Question 5 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.