ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 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. Informed consent is crucial before any medical procedure, including administering medication. It ensures the client understands the risks, benefits, and alternatives to the treatment. Without informed consent, the client's autonomy and right to make decisions about their care are violated. This step is essential for legal and ethical reasons.
Choice A is incorrect because room temperature for the medication is not specified in the protocol.
Choice B is incorrect as positioning after administration may vary depending on the provider's preference.
Choice C is incorrect as the client should not be restricted from urinating. It's important to maintain hydration and avoid urinary retention.
Question 2 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. This is the appropriate response because GBS status can change during pregnancy, and it is crucial to know the status closer to delivery to determine if antibiotics are needed during labor to prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic in pregnant women.
Choice B is incorrect because past negative results do not guarantee current negative status.
Choice C is incorrect because GBS status can change over time.
Question 3 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing this area also minimizes the risk of nerve damage and ensures a more accurate blood sample. Smearing blood onto a reagent strip (choice
B) can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample. Holding the finger above the heart prior to puncture (choice
C) can affect the blood flow and lead to inaccurate results.
Question 4 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have one of the highest fiber contents per cup among the options provided, with approximately 15.6 grams of fiber. This high fiber content helps in promoting bowel regularity and preventing constipation in the antepartum client. Oatmeal, while a good source of fiber, typically contains around 4 grams of fiber per cup, which is lower compared to lentils. Cabbage and asparagus have lower fiber content per cup compared to lentils. In summary, lentils are the best choice for increasing dietary fiber to alleviate constipation in the antepartum client among the given options.
Question 5 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin because digoxin has a narrow therapeutic range, and monitoring the serum level ensures the client is taking the medication as prescribed. Checking the serum level provides an objective measurement of how much digoxin is in the client's system, indicating adherence. Asking the client if they are taking the medication (choice
A) relies on self-reporting and may not be accurate. Assessing kidney function (choice
B) is important for digoxin monitoring but does not directly evaluate medication adherence. Determining the apical pulse rate (choice
C) is essential for digoxin therapy but does not directly assess adherence.