ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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: The correct answer is A: Decreased platelet count. In ITP, the immune system attacks and destroys platelets, leading to a low platelet count (thrombocytopenia). This can result in increased bleeding tendencies.
B: Increased ESR is not typically associated with ITP.
C: Decreased megakaryocytes is not expected in ITP as these are the precursors of platelets.
D: Increased WBC is not a characteristic finding in ITP.
Therefore, the nurse should expect a decreased platelet count in a client with postpartum ITP.
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess the well-being of the fetus during pregnancy. Oligohydramnios, which is a low level of amniotic fluid, can indicate poor fetal perfusion and compromise, necessitating closer monitoring. Hyperemesis gravidarum (
B) is severe morning sickness and does not directly affect fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy and does not require fetal monitoring. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 3 of 5
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because frequent vomiting with significant weight loss in a short period can indicate hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy. This condition can lead to dehydration and electrolyte imbalances, posing risks to both the mother and the fetus. The weight loss of 3 lb in a week is concerning and requires immediate medical attention to prevent complications. The other choices (B, C,
D) are common discomforts during pregnancy and not considered urgent issues that require immediate reporting to the provider. Mood swings (
B) are a normal part of hormonal changes in pregnancy, nosebleeds (
C) can be due to increased blood volume and nasal congestion, and increased vaginal discharge (
D) is a common physiological change in pregnancy.
Question 4 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, a normal fetal heart rate (FHR) ranges from 140-170 beats per minute. This finding indicates a healthy fetal heart rate. A: Deep tendon reflexes 4+ is incorrect as it is not related to gestational age assessment. B: Fundal height 14 cm is too small for 18 weeks gestation, typically it is around 16-20 cm. C: Blood pressure 142/94 mm Hg is high for a pregnant woman and may indicate hypertension.
Question 5 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 action is essential during phototherapy as it maximizes the area of skin exposed to the light, promoting the breakdown of bilirubin. Adequate hydration is crucial, so option A is incorrect. Applying lotion can interfere with the effectiveness of the therapy, so option B is incorrect. Discontinuing therapy for a rash is not advisable as it may worsen the hyperbilirubinemia, making option D incorrect.