ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations in fetal heart rate (FHR) during oxytocin infusion indicate uteroplacental insufficiency. Administering oxygen helps increase oxygen delivery to the fetus, improving oxygenation and reducing the risk of fetal distress. Instructing the client to push (choice
A) may worsen fetal distress. Placing the client in a supine position (choice
C) can further compromise blood flow to the placenta. Initiating an amnioinfusion (choice
D) is not indicated for late decelerations.
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Exhibit 3 - Vital Signs
Time Vital Signs
0930 Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
Question 2 of 5
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
Correct Answer:
Rationale:
Correct Answer: C: Get adequate rest and sleep
Rationale:
1. Adequate rest and sleep are crucial for mental health and emotional well-being, helping to regulate mood and prevent depressive symptoms.
2. Sleep deprivation can exacerbate postpartum depression symptoms, so ensuring the client gets enough rest is essential.
3. Rest and sleep contribute to hormone regulation and overall energy levels, supporting the client's ability to cope with the challenges of new motherhood.
Summary:
A: Engaging in physical activity is beneficial but not directly linked to preventing postpartum depression.
B: Having a strong support system is important, but alone may not be sufficient to prevent postpartum depression.
D: Eating a well-balanced diet is important for overall health but may not directly prevent postpartum depression.
Extract:
Question 3 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is crucial to prevent infection, as the leaking cerebrospinal fluid exposes the newborn to a high risk of meningitis. Antibiotics help to prevent and treat potential bacterial infections. Monitoring rectal temperature (
B) does not address the immediate risk of infection. Cleansing the site with povidone-iodine (
C) is important but not as urgent as starting antibiotics. Surgical closure (
D) should be done promptly but not necessarily after 72 hours; infection prevention is the priority.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D.
A) Labor induction with oxytocin can lead to uterine hyperstimulation, increasing the risk of postpartum hemorrhage.
C) Vacuum-assisted delivery can cause trauma to the birth canal, leading to excessive bleeding.
D) A history of uterine atony indicates a weak uterine muscle tone, which is a significant risk factor for postpartum hemorrhage.
B) Newborn weight and E) history of human papillomavirus are not directly related to postpartum hemorrhage.
Question 5 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale:
To calculate the number of tablets needed, divide the total dose by the strength of each tablet: 2g / 250mg = 8 tablets. The correct answer is A (8 tablets). Option B (4 tablets) is incorrect as it does not provide the correct dosage. Option C (2 tablets) is incorrect as it also does not provide the correct dosage. Option D (1 tablet) is incorrect as it would be an underdose.