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 at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A because frequent vomiting with significant weight loss in a short period can indicate hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy. This condition can lead to dehydration and electrolyte imbalances, posing risks to both the mother and the fetus. The weight loss of 3 lb in a week is concerning and requires immediate medical attention to prevent complications. The other choices (B, C,
D) are common discomforts during pregnancy and not considered urgent issues that require immediate reporting to the provider. Mood swings (
B) are a normal part of hormonal changes in pregnancy, nosebleeds (
C) can be due to increased blood volume and nasal congestion, and increased vaginal discharge (
D) is a common physiological change in pregnancy.
Question 2 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. The nurse should assess the newborn's latch to ensure proper attachment to the breast, which can alleviate sore nipples. This step is crucial in addressing the root cause of the issue. Waiting 4 hours between feedings (
A) can lead to engorgement and affect milk supply. Limiting breastfeeding time to 5 minutes (
C) may not be sufficient for adequate feeding. Offering supplemental formula (
D) can interfere with establishing breastfeeding and may not address the underlying latch issue.
Question 3 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Question 4 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. Vitamin B12 is primarily found in animal products, which are excluded in a vegan diet. Fortified soy milk is a plant-based alternative that is fortified with vitamin B12, making it a suitable option for vegans to increase their intake of this essential nutrient. Raw carrots (
B), fresh citrus fruits (
C), and brown rice (
D) do not contain significant amounts of vitamin B12 and are not effective sources for someone following a vegan diet.
Therefore, recommending fortified soy milk is the most appropriate choice to address the client's need to increase their vitamin B12 intake.
Question 5 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.