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 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Tell the client they will start medication for HIV immediately after delivery. At 22 weeks of gestation, starting HIV medication post-delivery is crucial to prevent transmission to the baby. Administering penicillin (
A) is not indicated for HIV. Annual pelvic exams (
B) are important but not the priority in this scenario. Reporting to the health department (
D) is not necessary at this point in the client's care.
Question 2 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. Neonatal abstinence syndrome can lead to seizures due to withdrawal from substances. Initiating seizure precautions involves ensuring a safe environment, padding the crib, and monitoring closely for any signs of seizure activity. Monitoring blood glucose every hour (
A) is unnecessary unless there are specific indications. Placing the infant on his back with legs extended (
B) is not directly related to managing neonatal abstinence syndrome. Providing a stimulating environment (
D) can exacerbate symptoms and should be avoided.
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 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 caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: The correct answer is D:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ophthalmic ointment allows for uninterrupted skin-to-skin contact and bonding between the newborn and parent, which is crucial for establishing a strong emotional connection and promoting breastfeeding. This initial bonding period is a critical time for the newborn's emotional and psychological development.
Choices A, B, and C are incorrect because immediate instillation of the ointment is essential to prevent neonatal conjunctivitis, regardless of the newborn's weight, mode of delivery, or the need to identify infection manifestations.