ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is spread through direct contact with an infected individual or contaminated surfaces. Initiating contact precautions involves wearing gloves and gowns when caring for the client to prevent transmission. Droplet precautions (
A) are for diseases spread through respiratory droplets, such as influenza. Protective environment (
C) is used for immunocompromised clients to protect them from outside pathogens. Airborne precautions (
D) are for diseases spread through the air, like tuberculosis.
Therefore, in this scenario, contact precautions are the most appropriate to prevent the spread of MRSA.
Question 2 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. This is because the client's significant cervical dilation and effacement indicate that she is in active labor, not at risk for an ectopic pregnancy, hyperemesis gravidarum, or incompetent cervix. Postpartum hemorrhage can occur due to the rapid labor progression, leading to increased risk of excessive bleeding post-delivery. Other choices are incorrect as they do not align with the client's current presentation and stage of labor.
Question 3 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Nuchal cord occurs when the umbilical cord is wrapped around the baby's neck during delivery. This can cause pressure on the baby's face, leading to small red or purple spots called petechiae. The rationale is that the pressure from the nuchal cord can result in capillary rupture, manifesting as petechiae on the baby's face. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are unrelated to nuchal cord and would not be expected findings in this scenario.
Question 4 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.
Question 5 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. At 12 weeks of gestation, amniocentesis is typically performed to detect genetic abnormalities, not to determine the sex of the fetus. This procedure involves collecting a sample of amniotic fluid to analyze the chromosomes for conditions like Down syndrome. Option A is incorrect as age is not a factor in determining the need for amniocentesis. Option C is incorrect because chorionic villus sampling is used for genetic testing, not determining the sex of the baby. Option D is incorrect because scheduling the procedure without addressing the client's request for sex determination is inappropriate.