ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. The McRoberts maneuver is used to alleviate shoulder dystocia by hyperflexing the mother's legs on her abdomen. This action widens the pelvic outlet and helps to dislodge the baby's shoulder. Applying pressure to the fundus (
A) would not be effective in resolving shoulder dystocia. Pressing on the suprapubic area (
B) does not directly address the issue of shoulder dystocia. Moving the client onto their hands and knees (
C) does not assist in resolving the shoulder dystocia.
Therefore, assisting the client in pulling their knees toward their abdomen (
D) is the correct action.
Question 2 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing this area also minimizes the risk of nerve damage and ensures a more accurate blood sample. Smearing blood onto a reagent strip (choice
B) can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample. Holding the finger above the heart prior to puncture (choice
C) can affect the blood flow and lead to inaccurate results.
Question 3 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. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.
Question 4 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 one of the highest fiber contents per cup among the options provided, with approximately 15.6 grams of fiber. This high fiber content helps in promoting bowel regularity and preventing constipation in the antepartum client. Oatmeal, while a good source of fiber, typically contains around 4 grams of fiber per cup, which is lower compared to lentils. Cabbage and asparagus have lower fiber content per cup compared to lentils. In summary, lentils are the best choice for increasing dietary fiber to alleviate constipation in the antepartum client among the given options.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases (p200Down Syndrome). This finding is significant because it is associated with Down Syndrome. The nurse should report this to the provider for further evaluation and potential genetic testing. Single palmar creases are a physical characteristic that can indicate the presence of genetic abnormalities. The other choices are common findings in newborns that do not necessarily require immediate reporting. Rust-stained urine may be due to urate crystals, transient circumoral cyanosis can be a normal response to cold or crying, and subconjunctival hemorrhage is often benign and resolves on its own.
Therefore, the nurse should prioritize reporting the single palmar creases to the provider for further assessment.