ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations in fetal heart rate (FHR) during oxytocin infusion indicate uteroplacental insufficiency. Administering oxygen helps increase oxygen delivery to the fetus, improving oxygenation and reducing the risk of fetal distress. Instructing the client to push (choice
A) may worsen fetal distress. Placing the client in a supine position (choice
C) can further compromise blood flow to the placenta. Initiating an amnioinfusion (choice
D) is not indicated for late decelerations.
Question 3 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys that can cause flank pain due to inflammation of the renal parenchyma. This pain is typically located on one or both sides of the lower back, just below the rib cage. Epigastric discomfort (
A) is more commonly associated with conditions like gastritis or pancreatitis. A temperature of 37.7°C (99.8°F) (
C) can indicate a mild fever, but it is not specific to pyelonephritis. Abdominal cramping (
D) is more likely to occur in conditions like gastroenteritis.
Question 4 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can increase the risk of infection and delay healing. This type of laceration extends through the perineal muscles, making it important to avoid any unnecessary trauma or irritation to the area. Vaginal candidiasis (choice
A), abdominal distention (choice
B), and afterpains (choice
C) are not contraindications to using a suppository for constipation in this scenario. Vaginal candidiasis and abdominal distention do not directly impact the use of a suppository, and afterpains, while uncomfortable, do not pose a risk with suppository use.
Question 5 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.