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 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
Correct Answer: B
Rationale: The correct answer is B: Perform Leopold maneuvers. Prior to applying an external transducer for fetal monitoring at 38 weeks gestation, the nurse should perform Leopold maneuvers to assess fetal position, presentation, and lie. This helps determine the optimal placement of the transducer for accurate monitoring.
A: Determining progression of dilatation and effacement is not necessary before applying an external transducer for fetal monitoring.
C: Completing a sterile speculum exam is not indicated for fetal monitoring.
D: Preparing a Nitrazine paper test is not relevant for applying an external transducer.
Question 2 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - The car seat should be positioned in the car at a 45-degree angle.
Rationale: Placing the car seat at a 45-degree angle is crucial for newborns and premature babies as it helps prevent their head from falling forward, ensuring proper breathing and airway protection. This angle also supports the baby's developing spine and neck muscles. It is a key safety measure recommended for all infants, particularly those born prematurely, to reduce the risk of oxygen desaturation and apnea episodes during travel.
Other
Choices:
A: Using a sleep sack in the car seat may cause overheating and compromise the baby's safety.
B: A car seat challenge test is typically done for preterm infants, not babies born at 38 weeks.
D: Turning a baby's car seat forward-facing at 1 year old is not recommended as rear-facing is safer until at least 2 years old.
Question 3 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup among the given options. One cup of cooked lentils contains about 15.6 grams of fiber, making it an excellent choice for increasing dietary fiber intake. Fiber helps prevent and alleviate constipation by promoting regular bowel movements. Oatmeal, cabbage, and asparagus also contain fiber, but in lower amounts compared to lentils. Oatmeal typically has around 4 grams of fiber per cup, while cabbage and asparagus have even lower fiber content.
Therefore, lentils are the best choice for the antepartum client aiming to increase fiber intake for constipation relief.
Question 4 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. The palpation of the uterus above the umbilicus indicates uterine atony, a potential complication post-vaginal delivery. A full bladder can displace the uterus further, exacerbating the issue. Emptying the bladder helps the uterus contract and prevents excessive bleeding. Reassessing the client in 2 hours (
A) delays necessary intervention. Administering simethicone (
B) is for gas relief and not relevant here. Instructing the client to lie on their right side (
D) does not address the root cause.
Question 5 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, suggesting that the fetus is not receiving enough oxygen. Administering oxytocin in the presence of late decelerations could further compromise fetal oxygenation and lead to fetal distress. It is crucial to report this finding to the provider to ensure the safety of both the mother and the baby.
Choices B, C, and D are incorrect:
B: Moderate variability of the FHR is a reassuring sign indicating a healthy fetal status.
C: Cessation of uterine dilation may signal a potential issue but does not directly contraindicate the initiation of oxytocin.
D: Prolonged active phase of labor may necessitate oxytocin augmentation but does not contraindicate its initiation.