ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys that can cause flank pain due to inflammation of the renal parenchyma. This pain is typically located on one or both sides of the lower back, just below the rib cage. Epigastric discomfort (
A) is more commonly associated with conditions like gastritis or pancreatitis. A temperature of 37.7°C (99.8°F) (
C) can indicate a mild fever, but it is not specific to pyelonephritis. Abdominal cramping (
D) is more likely to occur in conditions like gastroenteritis.
Question 2 of 5
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
Correct Answer: A
Rationale: The correct answer is A: How much protein do you eat in a day? At 6 weeks of gestation, protein intake is crucial for fetal development. Since the client follows a vegan diet, they may need to ensure they are getting enough plant-based protein sources. This question assesses the client's understanding of their dietary needs.
B: Are you taking a Vitamin C supplement? This question is not directly related to assessing protein intake, which is the main concern at this stage of pregnancy.
C: Have you considered eating shellfish? This question is inappropriate as shellfish is not a part of a vegan diet.
D: When was the last time you ate meat? This question is not relevant as the client adheres to a vegan diet.
In summary, option A is the correct choice as it directly addresses the client's dietary intake and potential protein deficiency, while the other options are either unrelated or not suitable for a vegan client.
Question 3 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This indicates an understanding of tubal ligation, a procedure that blocks the fallopian tubes to prevent pregnancy but does not affect ovulation. Ovulation will still occur, but the egg will not be able to travel to the uterus for fertilization.
A: Premenstrual tension may still occur as tubal ligation does not affect hormonal changes associated with the menstrual cycle.
B: Menstrual period length is not directly impacted by tubal ligation.
C: Hormone replacements are not typically needed after tubal ligation unless there are other underlying hormonal issues.
In summary, understanding that ovulation remains the same post-tubal ligation is crucial for the client to grasp the implications of the procedure accurately.
Question 4 of 5
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. This is a common finding in postterm newborns due to prolonged intrauterine environment, resulting in overgrowth of nails. The other choices are incorrect because:
A) Postterm newborns may have less subcutaneous fat due to nutrient depletion in the womb.
B) Fine hair on shoulders and back (lanugo) typically sheds before birth, not after.
D) Postterm babies often have dry, cracked skin but not necessarily pale and translucent.
Question 5 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This is important as newborns have sensitive skin and using harsh chemicals can cause irritation. Washing the baby's face with plain water helps keep it clean without causing any harm.
Choice A is incorrect because bathing the baby immediately after a feeding can lead to discomfort and possibly vomiting due to movement on a full stomach.
Choice B is incorrect as bumper pads can pose a suffocation risk to infants while sleeping in their crib.
Choice C is incorrect as a soft mattress increases the risk of Sudden Infant Death Syndrome (SIDS) as it can create a suffocation hazard.
In summary, washing the baby's face with plain water is the safest and most appropriate instruction for a new mother in terms of home safety for her newborn.