ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule adds 7 days to the first day of the last menstrual period (August 10), then subtracts 3 months and adds 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is incorrect because it doesn't account for adding the additional 7 days.
Choice C (May 3) is incorrect because it miscalculates the subtraction of 3 months.
Choice D (May 20) is incorrect as it adds the 7 days but doesn't subtract 3 months.
Question 2 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 3 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Postpartum endometritis is an infection of the uterine lining, causing inflammation and tenderness. This is a common complication seen in women after childbirth. The other options are incorrect because: A: A slightly elevated temperature of 37.4°C is not specific to endometritis. B: WBC count of 9,000/mm3 is within the normal range and may not indicate infection. D: Scant lochia refers to minimal vaginal discharge, which is not a typical finding in endometritis.
Question 4 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is crucial during a nonstress test, as pressing the button when fetal movement is felt helps to correlate fetal heart rate changes with fetal movement, providing valuable information about the baby's well-being. This allows healthcare providers to assess the baby's response to movement and determine if the fetal heart rate is within normal parameters.
Maintaining the client NPO (
Choice
A) is not necessary for a nonstress test. Placing the client in a supine position (
Choice
B) can decrease blood flow to the fetus and is contraindicated during pregnancy. Instructing the client to massage the abdomen (
Choice
C) may not be appropriate as it could potentially interfere with the test results by causing fetal movement that is not spontaneous.
Question 5 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule adds 7 days to the first day of the last menstrual period (August 10), then subtracts 3 months and adds 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is incorrect because it doesn't account for adding the additional 7 days.
Choice C (May 3) is incorrect because it miscalculates the subtraction of 3 months.
Choice D (May 20) is incorrect as it adds the 7 days but doesn't subtract 3 months.