ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A. At 11 weeks of gestation, abdominal cramping could be a sign of a potential miscarriage or ectopic pregnancy, which are urgent medical emergencies requiring immediate attention to prevent harm to the client and the fetus. Clients reporting tingling and numbness in the right hand (
B) may have carpal tunnel syndrome, a common discomfort in pregnancy but not as urgent. Constipation (
C) and bloody noses (
D) are common in pregnancy and can be addressed after addressing the more urgent issue of potential miscarriage.
Question 2 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. A uterus palpated to the right above the umbilicus in a postpartum client indicates a full bladder displacing the uterus. This can lead to uterine atony and increase the risk of postpartum hemorrhage. By assisting the client to empty their bladder, the nurse can help the uterus contract properly and prevent complications.
Other choices are incorrect:
A: Reassessing in 2 hours does not address the immediate issue of a full bladder causing uterine displacement.
B: Administering simethicone is used for gas relief and is not relevant in this situation.
D: Instructing the client to lie on their right side does not address the underlying issue of a full bladder.
In summary, emptying the bladder is crucial to prevent complications post-vaginal delivery, making it the most appropriate intervention in this scenario.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 3 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale: Sure, here is the detailed explanation:
- Trichomoniasis: Trichomoniasis typically presents with greenish discharge but not pain on urination.
- Gonorrhea: Gonorrhea can cause both greenish discharge and pain on urination.
- Candidiasis: Candidiasis does not typically present with greenish discharge or pain on urination.
Therefore, based on the assessment findings provided:
- Abdominal pain: Not specific to any of the given conditions.
- Greenish discharge: Consistent with both gonorrhea and trichomoniasis.
- Diabetes: Not directly related to the symptoms provided.
- Pain on urination: Consistent with gonorrhea.
- Absence of condom: Not relevant to the symptoms provided.
The correct answer is B, D as greenish discharge and pain on urination are consistent with both gonorrhea and trichomoniasis, making them the most likely conditions based on the assessment findings.
Extract:
Question 4 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Question 5 of 5
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
Correct Answer: C, D
Rationale: The correct answer is C: Bradypnea and D: Vomiting. SSRI withdrawal in newborns can manifest as respiratory distress (bradypnea) and gastrointestinal symptoms such as vomiting. This is due to the sudden discontinuation of the medication after birth, leading to withdrawal symptoms.
Choices A and B are not typical manifestations of SSRI withdrawal. Large for gestational age and hyperglycemia are not directly associated with SSRI use.
Choices E, F, and G are not provided in the question.