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:
Correct Answer: D - Malodorous discharge
Rationale: Trichomoniasis is a sexually transmitted infection caused by a parasite. It commonly presents with a malodorous, frothy, yellow-green vaginal discharge. This discharge is typically accompanied by vulvar itching and irritation. At 20 weeks gestation, the client may also present with vaginal bleeding or discomfort.
Incorrect
Choices:
A: Thick, white vaginal discharge - This is more indicative of a yeast infection (candidiasis), not trichomoniasis.
B: Urinary frequency - Not a typical symptom of trichomoniasis, more common in urinary tract infections.
C: Vulva lesions - Trichomoniasis does not typically cause lesions, but rather irritation and itching.
E, F, G: No additional choices provided.
Question 2 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the procedure. For the other options: A is incorrect because room temperature is not specified for this medication. B is incorrect as positioning doesn't affect the administration. C is incorrect as avoiding urinary elimination is not necessary. In summary, verifying informed consent is crucial for patient autonomy and safety, making it the correct action in this scenario.
Question 3 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, a normal fetal heart rate (FHR) ranges from 140-170 beats per minute. This finding indicates a healthy fetal heart rate. A: Deep tendon reflexes 4+ is incorrect as it is not related to gestational age assessment. B: Fundal height 14 cm is too small for 18 weeks gestation, typically it is around 16-20 cm. C: Blood pressure 142/94 mm Hg is high for a pregnant woman and may indicate hypertension.
Question 4 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by inducing ovulation. Breast tenderness is a common side effect due to the hormonal changes caused by the medication. This occurs because clomiphene citrate can increase estrogen levels, leading to breast discomfort. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use. Tinnitus is more commonly linked to ototoxic medications, urinary frequency may be seen with diuretics, and chills are often indicative of an infection or allergic reaction.
Therefore, breast tenderness is the most relevant adverse effect to include in the teaching for a client experiencing infertility and taking clomiphene citrate.
Question 5 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hr. Breastfeeding newborns frequently helps establish milk supply, prevents engorgement, and ensures the baby gets enough nutrients.
Choice A is too limited and may not provide adequate feeding.
Choice B is incorrect as newborns should only be given breast milk or formula, no water.
Choice C is too vague and might not indicate adequate feeding.