ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. Postterm newborns have longer nails due to prolonged intrauterine exposure. This is because their nails continue to grow during the extended time in the womb. Large deposits of subcutaneous fat (
A) are more common in term and postterm newborns. A thin covering of fine hair on shoulders and back (
B) is known as lanugo and is typically seen in preterm newborns. Pale, translucent skin (
D) is more common in preterm newborns due to decreased fat deposits.
Therefore, the most expected finding in a postterm newborn is nails extending over the tips of fingers.
Question 2 of 5
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
Correct Answer: C
Rationale: The correct answer is C: Biophysical profile (BPP). At 41 weeks gestation with a positive contraction stress test, the BPP is indicated to assess fetal well-being. BPP evaluates fetal heart rate, fetal movements, fetal tone, amniotic fluid volume, and sometimes a nonstress test. This test provides information on fetal oxygenation and overall health. The other choices are incorrect because:
A) Percutaneous umbilical blood sampling is used to assess fetal blood gases and acid-base balance, typically in cases of suspected fetal compromise.
B) Amnioinfusion involves infusing sterile fluid into the amniotic cavity, usually to correct oligohydramnios.
D) Chorionic villus sampling is a prenatal diagnostic test used to detect genetic abnormalities.
Question 3 of 5
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rho(
D) immune globulin. This is the priority intervention because the client is Rh-negative, and an amniocentesis can lead to fetal-maternal blood incompatibility. Administration of Rho(
D) immune globulin helps prevent the mother from developing antibodies against Rh-positive fetal blood cells, reducing the risk of hemolytic disease in the fetus. Checking the client's temperature (
A) is important but not the priority immediately following an amniocentesis. Observing for uterine contractions (
B) is not the priority unless there are signs of preterm labor. Monitoring the FHR (
D) is essential but not the priority immediately post-amniocentesis.
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: We need to know if you are positive for GBS at the time of delivery. At 37 weeks gestation, testing for GBS is important as the status can change. GBS colonization can come and go, so testing closer to delivery ensures the most accurate result to guide antibiotic prophylaxis during labor to prevent transmission to the newborn.
Choices A, B, and C are incorrect because they focus on past history or symptoms, which do not indicate the current GBS status. Testing closer to delivery is crucial to prevent neonatal GBS infection.
Question 5 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I should empty my bladder before the procedure."
Rationale: Emptying the bladder before amniocentesis helps prevent puncturing the bladder during the procedure due to its proximity to the uterus. This statement indicates understanding of the importance of bladder emptying to ensure a safe and successful amniocentesis.
Summary of other choices:
B: Incorrect - Lying on the side is not a key instruction for amniocentesis.
C: Incorrect - Most amniocentesis procedures are performed while the client is awake.
D: Incorrect - Fasting is not necessary for amniocentesis; it is a simple and quick procedure that does not require fasting.