ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Opioid analgesics administered via epidural block can lead to vasodilation, resulting in decreased blood pressure. The nurse should monitor for signs of hypotension, such as dizziness, lightheadedness, and decreased urine output. Hyperglycemia (
A) is not typically associated with opioid analgesics. Bilateral crackles (
B) suggest fluid overload or pulmonary edema, not a common adverse effect of opioids. Polyuria (
D) is not a common side effect of opioid analgesics; in fact, opioids can cause urinary retention.
Question 2 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 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. Maternal cytomegalovirus can be transmitted to the newborn through saliva, urine, and other bodily fluids. This is important information for the nurses to understand as they care for both the mother and the newborn.
A: Mothers do not receive prophylactic treatment with acyclovir for cytomegalovirus; therefore, this is incorrect.
C: Lesions are not visible on the mother's genitalia with cytomegalovirus, so this option is incorrect.
D: Airborne precautions are not necessary for cytomegalovirus transmission, making this option incorrect.
By understanding how cytomegalovirus can be transmitted, nurses can take appropriate precautions to prevent spread to the newborn.
Question 4 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: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates understanding because it aligns with the recommendation for newborns to be positioned at a 45-degree angle in a rear-facing car seat to prevent head flop and ensure proper breathing. This angle helps maintain an open airway and reduces the risk of suffocation. Incorrect answers: A suggests using a sleep sack, which may interfere with the harness straps and compromise safety. B is incorrect as a car seat challenge test is typically done for premature infants, not full-term newborns. D is incorrect as the recommendation is to keep infants in a rear-facing position until they reach the height or weight limit specified by the car seat manufacturer, typically beyond the age of 1.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 5 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The correct answers are A, B, C, and G. A Coombs test result is important for assessing for hemolytic anemia. Mucous membrane assessment is crucial for detecting dehydration or oxygenation issues. Intake and output are vital indicators of fluid balance. Sclera color can indicate liver function or jaundice.
Choices D, E, and F are not typically findings that would warrant immediate reporting to the provider unless they are significantly abnormal and impacting the patient's condition.