ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn indicate respiratory distress, which is a serious concern that requires immediate attention from the provider. The other choices are normal findings in a newborn. Acrocyanosis is common and resolves on its own. Overlapping suture lines are expected due to the molding of the infant's head during birth. A head circumference of 33 cm (13 in) falls within the normal range for a newborn. Reporting substernal retractions promptly ensures timely intervention to address potential respiratory issues.
Question 2 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will continue taking my insulin if I experience nausea and vomiting." This statement indicates an understanding of the importance of insulin therapy in managing blood glucose levels, even during episodes of nausea and vomiting that may commonly occur during pregnancy. It shows that the client recognizes the need to maintain stable blood sugar levels to prevent complications for both herself and the fetus.
Choice A is incorrect because insulin needs may vary during pregnancy, but not necessarily needing to be increased in the first trimester specifically.
Choice B is incorrect because moderate exercise is generally recommended, but not when blood glucose levels are high.
Choice D is incorrect as a bedtime snack high in refined sugar can lead to blood sugar spikes.
Question 3 of 5
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
Correct Answer: A
Rationale:
Correct Answer: A. Ensure that the parent's identification band number matches the newborn's identification band number.
Rationale: Matching the parent's identification band number with the newborn's ensures proper identification, preventing mix-ups and ensuring the newborn is returned to the correct parent. This step is crucial for patient safety and security.
Incorrect
Choices:
B: Asking the parent to verify their name and date of birth may not be sufficient for accurate identification as parents can make mistakes or someone could falsely claim to be the parent.
C: Checking the newborn's security tag number is important but may not be as reliable as matching identification band numbers.
D: Matching date and time of birth to the parent's medical record is not a common practice for identification and may not be as accurate as matching identification band numbers.
Question 4 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. The rationale behind this is that amniocentesis is a prenatal test that is used to detect genetic conditions, chromosomal abnormalities, and neural tube defects in the fetus. It is not typically done solely to determine the sex of the baby. A is incorrect because there is no age requirement for amniocentesis. C is incorrect because chorionic villus sampling is a different procedure used to detect genetic abnormalities and is not typically done to determine the sex of the baby. D is incorrect because scheduling the procedure without discussing the risks and benefits with the client first is not appropriate.
Question 5 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by inducing ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the medication. This occurs because clomiphene citrate can increase estrogen levels, leading to breast discomfort. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to ototoxic medications, urinary frequency may be seen with diuretics, and chills are often indicative of an infection or allergic reaction.
Therefore, breast tenderness is the most relevant adverse effect to include in the teaching for a client experiencing infertility and taking clomiphene citrate.