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 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D, malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, resulting in a foul-smelling, frothy, greenish-yellow vaginal discharge. This discharge is a hallmark symptom of trichomoniasis and is often accompanied by vaginal itching and discomfort. Thick, white discharge (choice
A) is more indicative of a yeast infection. Urinary frequency (choice
B) is not a typical symptom of trichomoniasis. Vulva lesions (choice
C) are more commonly associated with herpes or syphilis.
Therefore, based on the client's gestational age and diagnosis, malodorous discharge is the most likely finding.
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 response is appropriate because GBS status can change during pregnancy, and testing closer to the delivery date provides the most up-to-date information. Testing earlier in pregnancy may not accurately reflect the GBS status at the time of delivery.
Choice A is incorrect because the presence of symptoms is not a reliable indicator of GBS status.
Choice B is incorrect as past negative GBS results do not guarantee the current status.
Choice C is incorrect because GBS screening is typically done later in pregnancy regardless of earlier test results.
Question 3 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:
Correct
Answer: B
Rationale: Assessing the newborn's latch while breastfeeding is crucial in addressing sore nipples. A poor latch can lead to nipple pain. By ensuring proper latch, the nurse can help alleviate the client's discomfort. Other actions are incorrect:
A: Waiting 4 hr between feedings can lead to engorgement and worsen nipple soreness.
C: Limiting breastfeeding time to 5 min can hinder milk supply and not address the root cause.
D: Offering supplemental formula can interfere with establishing breastfeeding and may not address the latch issue.
Question 4 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, a serious postpartum complication. The nurse should report this to the provider immediately for further evaluation and intervention to prevent deterioration. Moderate lochia serosa (
B) is expected 3 days postpartum. Heart rate of 89/min (
C) and BP of 120/70 mm Hg (
D) are within normal range for a postpartum client and do not require immediate reporting.
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale:
Correct
Answer: A. Administer broad-spectrum antibiotics.
Rationale: Administering broad-spectrum antibiotics is essential to prevent infection in the newborn with a leaking myelomeningocele. The exposed spinal cord increases the risk of infection, which can lead to serious complications such as meningitis. Antibiotics can help prevent or treat any potential infections.
Incorrect
Choices:
B. Monitoring rectal temperature every 4 hours is not the priority in this situation. Infection prevention and management should take precedence.
C. Cleansing the site with povidone-iodine may not be appropriate as it can be irritating to the exposed spinal cord.
D. Surgical closure after 72 hours may be delayed if there is an infection present. Administering antibiotics is crucial before proceeding with surgical closure.