ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication used to help control postpartum hemorrhage by promoting uterine contractions which can help stop the bleeding due to uterine atony. It is important to address the underlying cause of the bleeding to prevent further complications.
Choice A: Administering betamethasone IM is not appropriate in this situation as it is a corticosteroid used to promote fetal lung development in preterm labor, not for controlling postpartum hemorrhage.
Choice B: Avoiding performing sterile vaginal examinations is not helpful in managing postpartum hemorrhage. Vaginal examinations may be necessary to assess the degree of bleeding and uterine tone.
Choice D: Obtaining a specimen for a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage in cases of Rh incompatibility, not for immediate management of postpart
Question 2 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 location is recommended for blood glucose testing as it is less painful and has fewer nerve endings compared to other areas. Puncturing the finger while still damp with antiseptic solution (choice
A) may dilute the blood sample, leading to inaccurate results. Smearing the blood onto the reagent strip (choice
B) is not recommended as it can affect the accuracy of the reading. Holding the finger above the heart prior to puncture (choice
C) may increase blood flow and lead to a higher glucose reading.
Therefore, choosing the lateral side of the finger for puncture is the best option to ensure accurate and reliable blood glucose results.
Extract:
A nurse is caring for a client who is pregnant in an antepartum clinic.
Vital Signs
0900:
Temperature 36.6°C (97.9°F)
Heart rate 88/min
Respiratory rate 18/min
Blood pressure 130/70 mm Hg
Oxygen saturation 97% on room air
1000:
Heart rate 76/min
Respiratory rate 20/min
Blood pressure 138/68 mm Hg
Oxygen saturation 98% on room air
Question 3 of 5
Which of the following findings should the nurse report to the provider?Select the 3 findings that should be reported.
Correct Answer: A,B,D
Rationale: The nurse should report uterine contractions (
A) as they can indicate preterm labor. Fetal heart rate (
B) should be reported to monitor fetal well-being. Vaginal examination (
D) findings are important to assess cervical changes. Gestational age (
C) and maternal blood pressure (E) are routine assessments and do not necessarily require immediate reporting.
Extract:
Question 4 of 5
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale:
Rationale: Option D is correct because pressing the handheld button when feeling the baby move during the nonstress test helps to record fetal movements and heart rate changes. This action ensures accurate monitoring of the baby's well-being. Option A is incorrect because the duration of the test can vary and is not necessarily limited to 10-15 minutes. Option B is incorrect as pregnant clients should not lie in a supine position for extended periods due to the risk of supine hypotensive syndrome. Option C is incorrect as fasting is not necessary for a nonstress test.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate a chromosomal abnormality like Down Syndrome. The nurse should report this to the provider for further evaluation and genetic testing. Single palmar creases are not typically seen in healthy newborns.
Choices B, C, D, and E are normal findings in newborns. Down Syndrome is associated with multiple physical and developmental characteristics, not just single palmar creases. Rust-stained urine may be from uric acid crystals, which is common in newborns. Transient circumoral cyanosis and subconjunctival hemorrhage can occur due to normal physiological processes during birth and usually resolve on their own without intervention.