ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels as hypoglycemia can cause jitteriness and is a potentially life-threatening condition in neonates. Low blood glucose can lead to neurologic issues, seizures, and long-term developmental delays.
Total bilirubin (
B) is related to jaundice, not jitteriness. Hemoglobin (
C) and blood calcium (
D) are not directly related to jitteriness in a newborn.
Therefore, the nurse should prioritize checking the blood glucose level to address the immediate concern of jitteriness in the 12-hour-old newborn.
Question 2 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I should empty my bladder before the procedure."
Rationale: Emptying the bladder before amniocentesis helps prevent puncturing the bladder during the procedure due to its proximity to the uterus. This statement indicates understanding of the importance of bladder emptying to ensure a safe and successful amniocentesis.
Summary of other choices:
B: Incorrect - Lying on the side is not a key instruction for amniocentesis.
C: Incorrect - Most amniocentesis procedures are performed while the client is awake.
D: Incorrect - Fasting is not necessary for amniocentesis; it is a simple and quick procedure that does not require fasting.
Question 3 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The client being 80% effaced and 8 cm dilated indicates she is in active labor, not pregnant with an ectopic pregnancy. Hyperemesis gravidarum is severe nausea and vomiting during pregnancy, which is not related to the client's current condition. Incompetent cervix would present earlier in pregnancy with painless cervical dilation, not during active labor. Postpartum hemorrhage is a risk due to the advanced dilation and effacement, making the uterus more prone to atony and excessive bleeding after delivery.
Question 4 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a known adverse effect. This is due to hormonal fluctuations caused by the medication.
Choice B, polyuria, is excessive urination which is not typically associated with oral contraceptives.
Choice C, hypotension, is low blood pressure and is not a common adverse effect of this medication.
Choice D, urticaria, is hives or skin rash, which is not directly linked to oral contraceptives. In summary, depression is the correct adverse effect to include in teaching as it is a recognized side effect of combined oral contraceptives, while the other choices are not commonly associated with this medication.
Question 5 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn indicate respiratory distress, which is a serious concern that requires immediate attention from the provider. The other choices are normal findings in a newborn. Acrocyanosis is common and resolves on its own. Overlapping suture lines are expected due to the molding of the infant's head during birth. A head circumference of 33 cm (13 in) falls within the normal range for a newborn. Reporting substernal retractions promptly ensures timely intervention to address potential respiratory issues.