ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer’s IV bolus. This action is necessary to address the ongoing vaginal bleeding, as it suggests hypovolemia. Administering IV fluids will help restore blood volume and stabilize the client's condition.
Choice A is incorrect because replacing the surgical dressing does not address the underlying cause of the bleeding.
Choice B, evaluating urinary output, may be important but is not the priority in this situation.
Choice C, applying an ice pack to the incision site, is not appropriate for controlling post-cesarean bleeding.
Question 2 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.
Question 3 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 4 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: The correct answer is A: "I should empty my bladder before the procedure." This is correct because having a full bladder can make it difficult for the healthcare provider to perform the amniocentesis. Emptying the bladder helps provide better access to the uterus for the procedure.
Choice B is incorrect as the client is usually lying on their back during the procedure.
Choice C is incorrect as the client is typically awake during an amniocentesis.
Choice D is incorrect as fasting is not required for this procedure.
Question 5 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.