ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to their own insulin production being higher to compensate for the mother's high glucose levels. Jitteriness is a common sign of hypoglycemia in newborns due to the brain's dependence on glucose for energy. Abdominal distention, petechiae, and increased muscle tone are not typical manifestations of hypoglycemia in newborns. Abdominal distention may indicate other issues such as bowel obstruction, petechiae can be a sign of bleeding disorders, and increased muscle tone is not specific to hypoglycemia.
Question 2 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B because the client at 34 weeks with epigastric pain could be experiencing preeclampsia, a serious condition in pregnancy. Preeclampsia can lead to severe complications such as eclampsia, stroke, or HELLP syndrome. The nurse should prioritize this client to assess for signs of preeclampsia, such as high blood pressure, proteinuria, and visual changes.
Choice A is incorrect because while gestational diabetes requires monitoring, the blood glucose level of 120 mg/dL is not critically high.
Choice C is incorrect as the hemoglobin level of 10.4 g/dL is slightly below the normal range but does not pose an immediate threat.
Choice D is incorrect as urinary frequency and dysuria are common in late pregnancy and do not indicate an urgent issue.
Question 3 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the procedure. For the other options: A is incorrect because room temperature is not specified for this medication. B is incorrect as positioning doesn't affect the administration. C is incorrect as avoiding urinary elimination is not necessary. In summary, verifying informed consent is crucial for patient autonomy and safety, making it the correct action in this scenario.
Question 4 of 5
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
Correct Answer: A, B, D
Rationale: The correct answers are A, B, and D. Cholecystitis is a contraindication due to increased risk of gallbladder disease. Hypertension is a contraindication as it can be exacerbated by oral contraceptives. Migraine headaches with aura are a contraindication due to increased risk of stroke. Human papillomavirus is not a contraindication.
Question 5 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.