ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A - Decreased platelet count.
Rationale: In idiopathic thrombocytopenia purpura (ITP), there is a decreased platelet count due to immune-mediated destruction of platelets. This leads to an increased risk of bleeding and bruising. The nurse should expect thrombocytopenia in a client with ITP.
Summary of other choices:
B: Increased ESR - ESR is not typically affected in ITP.
C: Decreased megakaryocytes - Megakaryocytes are usually increased in ITP as the bone marrow tries to compensate for the decreased platelet count.
D: Increased WBC - WBC count is not typically affected in ITP.
Question 2 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale:
Correct Answer: A - Decreased platelet count.
Rationale: In idiopathic thrombocytopenia purpura (ITP), there is a decreased platelet count due to immune-mediated destruction of platelets. This leads to an increased risk of bleeding and bruising. The nurse should expect thrombocytopenia in a client with ITP.
Summary of other choices:
B: Increased ESR - ESR is not typically affected in ITP.
C: Decreased megakaryocytes - Megakaryocytes are usually increased in ITP as the bone marrow tries to compensate for the decreased platelet count.
D: Increased WBC - WBC count is not typically affected in ITP.
Question 3 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is important during phototherapy as it maximizes the skin surface exposed to the light, aiding in bilirubin breakdown.
Choice A is incorrect as water feeds are unnecessary and may interfere with breastfeeding.
Choice B is incorrect as lotions can interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and does not warrant discontinuation of the therapy.
Question 4 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: You should press the handheld button when you feel your baby move.
Rationale:
1. Nonstress test monitors fetal heart rate in response to fetal movement.
2. Pressing the handheld button when feeling baby move allows correlation of fetal heart rate changes with movements.
3. This action helps assess the well-being of the fetus and indicates a reactive nonstress test.
4. It is essential for the nurse to educate the client on this key step for accurate test results.
Summary:
A: Incorrect. The test duration is not related to this specific instruction.
B: Incorrect. Lying in a supine position may affect blood flow and should be avoided.
C: Incorrect. Fasting is not necessary for a nonstress test.
Question 5 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B. Epigastric pain in a pregnant woman at 34 weeks could indicate a serious condition like pre-eclampsia, which requires immediate attention to prevent complications for both the mother and the baby. Gestational diabetes with a fasting blood glucose level of 120 mg/dL, as in choice A, is concerning but can be managed with appropriate interventions and monitoring.
Choice C's client with an Hgb of 10.4 g/dL is below the normal range but not an immediate priority unless there are symptoms of severe anemia.
Choice D's client at 39 weeks with urinary symptoms may indicate a urinary tract infection, which is important but not as urgent as potential pre-eclampsia.