ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: The nurse should interpret Proteinuria 2+ as a sign of a potential worsening condition due to kidney damage. Hematuria could indicate a urinary tract issue but is less specific than proteinuria for this client. Leukorrhea is unrelated to the diagnosis. Positive clonus is typically associated with neurological issues, not related to kidney function. BUN and platelet count are not provided in the table, so they should not be considered in the interpretation.
Extract:
Question 3 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum peripartum cardiomyopathy is a serious condition that can lead to heart failure. Monitoring blood pressure is crucial to detect any changes or worsening of the condition early. Assessing blood pressure twice daily allows for timely intervention if hypertension or hypotension occurs. Options A, C, and D are incorrect. Misoprostol is not indicated for peripartum cardiomyopathy. Restricting fluid intake can exacerbate heart failure symptoms. Administering an IV bolus of lactated Ringer's may worsen fluid overload in a client with cardiomyopathy.
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.
Question 5 of 5
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for uninterrupted bonding time between the newborn and parent, promoting attachment and emotional connection. This is a critical time for parent-infant bonding and should not be interrupted by unnecessary procedures.
Choice A is incorrect because delaying the ointment does not impact the identification of infection; newborns are routinely monitored for signs of infection regardless.
Choice B is incorrect as the weight of the newborn is not a factor in delaying the ointment.
Choice C is irrelevant as the mode of delivery does not affect the timing of ointment instillation.