ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Begin FHR monitoring. This is the priority intervention because assessing the fetal heart rate (FHR) is crucial to ensuring the well-being of the fetus after the client's water has broken. Monitoring the FHR can help detect any signs of distress or complications that may arise. Performing Nitrazine testing (
A) and assessing the fluid (
B) can provide additional information, but monitoring the FHR takes precedence due to its direct impact on fetal well-being. Checking cervical dilation (
C) is important but not as urgent as monitoring the FHR in this situation.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 2 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Correct Answer:
Rationale:
- Increased warmth in the extremity: Indicates possible worsening of the deep vein thrombosis due to increased blood flow.
- Tachycardia: Indicates worsening circulation and possible pulmonary embolism.
- Leukocytosis: Suggests an inflammatory response to the thrombus, indicating a worsening condition.
- Scant lochia rubra: Not directly related to deep vein thrombosis.
- Decreased extremity edema: Not a relevant indicator for worsening of deep vein thrombosis.
Extract:
Question 3 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a newborn can lead to inadequate glucose supply to the brain, causing respiratory distress due to central nervous system depression. Hypertonia (choice
A) is typically seen in hypocalcemia. Increased feeding (choice
B) may be a compensatory mechanism to address hypoglycemia. Hyperthermia (choice
C) is not a common manifestation of hypoglycemia. It is important to monitor for signs of respiratory distress in a late preterm newborn to promptly address hypoglycemia.
Question 4 of 5
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in late preterm newborns can present with signs such as respiratory distress due to inadequate glucose supply to the brain, leading to central nervous system dysfunction. Hypertonia (choice
A) is not a typical sign of hypoglycemia. Increased feeding (choice
B) is a compensatory mechanism to raise blood glucose levels. Hyperthermia (choice
C) is not directly related to hypoglycemia.
Therefore, choice D is the most indicative of hypoglycemia in this scenario.
Question 5 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a known adverse effect. This is due to hormonal fluctuations caused by the medication.
Choice B, polyuria, is excessive urination which is not typically associated with oral contraceptives.
Choice C, hypotension, is low blood pressure and is not a common adverse effect of this medication.
Choice D, urticaria, is hives or skin rash, which is not directly linked to oral contraceptives. In summary, depression is the correct adverse effect to include in teaching as it is a recognized side effect of combined oral contraceptives, while the other choices are not commonly associated with this medication.