ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Cover the umbilical cord with a sterile saline-saturated towel. This action is crucial to prevent compression of the umbilical cord, which can lead to fetal compromise. By covering the cord with a sterile saline-saturated towel, the nurse can maintain a moist environment and protect the cord from injury. Performing a vaginal examination (
Choice
A) can further push the cord and worsen the situation. Administering oxygen (
Choice
C) may be necessary later, but covering the cord is the priority. Initiating IV fluids (
Choice
D) is not the immediate priority in this emergency situation.
Question 2 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is important for fertility as being underweight or overweight can affect hormone levels and ovulation. A healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B, herbal tea, lacks scientific evidence for enhancing fertility.
Choice D, hot baths, can increase testicular temperature and affect sperm production.
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 3 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:
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 4 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.
Extract:
Question 5 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can increase the risk of infection and delay healing. This type of laceration extends through the perineal muscles, making it important to avoid any unnecessary trauma or irritation to the area. Vaginal candidiasis (choice
A), abdominal distention (choice
B), and afterpains (choice
C) are not contraindications to using a suppository for constipation in this scenario. Vaginal candidiasis and abdominal distention do not directly impact the use of a suppository, and afterpains, while uncomfortable, do not pose a risk with suppository use.