ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Infants born to mothers with gestational diabetes are at risk for hypoglycemia due to hyperinsulinemia. Jitteriness is a common manifestation of hypoglycemia in newborns. It occurs due to the brain's response to low glucose levels, leading to neurologic symptoms. Abdominal distention (
A) is not typically associated with hypoglycemia in newborns. Petechiae (
B) are tiny red spots due to bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical manifestation of hypoglycemia in newborns.
Question 2 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to protect the newborn's eyes during phototherapy as exposure to bright lights can damage the eyes. Closing the eyes with eyepatches helps prevent potential eye damage. Providing glucose water (
A) is not necessary for phototherapy. Turning the newborn every 4 hours (
B) is a routine nursing intervention but not specific to phototherapy. Applying hydrating lotion (
C) is not recommended as it may interfere with the effectiveness of the phototherapy.
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 discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This indicates an understanding of tubal ligation, a procedure that blocks the fallopian tubes to prevent pregnancy but does not affect ovulation. Ovulation will still occur, but the egg will not be able to travel to the uterus for fertilization.
A: Premenstrual tension may still occur as tubal ligation does not affect hormonal changes associated with the menstrual cycle.
B: Menstrual period length is not directly impacted by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation unless there are other underlying hormonal issues.
In summary, understanding that ovulation remains the same post-tubal ligation is crucial for the client to grasp the implications of the procedure accurately.
Question 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Infants born to mothers with gestational diabetes are at risk for hypoglycemia due to hyperinsulinemia. Jitteriness is a common manifestation of hypoglycemia in newborns. It occurs due to the brain's response to low glucose levels, leading to neurologic symptoms. Abdominal distention (
A) is not typically associated with hypoglycemia in newborns. Petechiae (
B) are tiny red spots due to bleeding under the skin and are not related to hypoglycemia. Increased muscle tone (
C) is not a typical manifestation of hypoglycemia in newborns.