ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. At 12 weeks of gestation, amniocentesis is typically performed to detect genetic abnormalities, not to determine the sex of the fetus. This procedure involves collecting a sample of amniotic fluid to analyze the chromosomes for conditions like Down syndrome. Option A is incorrect as age is not a factor in determining the need for amniocentesis. Option C is incorrect because chorionic villus sampling is used for genetic testing, not determining the sex of the baby. Option D is incorrect because scheduling the procedure without addressing the client's request for sex determination is inappropriate.
Question 2 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. Neonatal abstinence syndrome can result in central nervous system hyperirritability, increasing the risk of seizures.
Therefore, initiating seizure precautions, such as padding the crib and ensuring a quiet environment, is crucial. Monitoring blood glucose hourly (
A) is not typically necessary for neonatal abstinence syndrome. Placing the infant on his back with legs extended (
B) is a safe sleep practice but not directly related to managing neonatal abstinence syndrome. Providing a stimulating environment (
D) is contraindicated as it can exacerbate symptoms.
Question 3 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. This is because the client's significant cervical dilation and effacement indicate that she is in active labor, not at risk for an ectopic pregnancy, hyperemesis gravidarum, or incompetent cervix. Postpartum hemorrhage can occur due to the rapid labor progression, leading to increased risk of excessive bleeding post-delivery. Other choices are incorrect as they do not align with the client's current presentation and stage of labor.
Question 4 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 5 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated | |
|---|---|---|---|
| Insert a large bore intravenous catheter. | |||
| Assess cervical dilation. | |||
| Weigh perineal pads. | |||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: [,(0,0,1),(0,0,0),(0,0,0)]
Correct Answer: A, C
Rationale:
A: Inserting a large bore intravenous catheter is indicated for administering medications or fluids rapidly in emergency situations.
C: Weighing perineal pads is indicated to monitor postpartum hemorrhage.
Assessing cervical dilation (
B) is not necessary in this scenario. Administering methotrexate (
D) is not a nursing action.