ATI RN
ATI Maternity Nur230 Questions
Extract:
Adolescent with spina bifida, paralyzed from the waist down
Question 1 of 5
A nurse is caring for an adolescent with spina bifida who is paralyzed from the waist down. Which of the following client statements should alert the nurse to the need for further education?
Correct Answer: A
Rationale: Catheterization every 3-4 hours is needed to prevent urinary tract infections, indicating a need for further education.
Extract:
8-year-old child diagnosed with acute rheumatic fever
Question 2 of 5
A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse's immediate priority assessment after admission?
Correct Answer: B
Rationale: Auscultating heart sounds is critical due to the risk of cardiac complications like carditis in acute rheumatic fever.
Extract:
Child having a seizure
Question 3 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Side-lying position prevents aspiration, airway assessment ensures breathing, and removing objects prevents injury during a seizure.
Extract:
6-month-old infant receiving digoxin
Question 4 of 5
A nurse is preparing to administer digoxin to a 6-month-old infant. Before administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate?
Correct Answer: A
Rationale: A heart rate below 90 bpm in infants indicates potential digoxin toxicity risk, requiring the dose to be withheld.
Extract:
Client in labor experiencing incomplete uterine relaxation between hypertonic contractions
Question 5 of 5
A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions. What adverse effect does the nurse recognize as a result of this contraction pattern?
Correct Answer: B
Rationale: Incomplete uterine relaxation with hypertonic contractions can impede cervical dilation, slowing labor progression.