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, commonly seen in pregnant women due to physiological changes. Flank pain is a classic symptom due to inflammation of the kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues, not typically associated with pyelonephritis. Temperature elevation (
C) is a common sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more commonly associated with uterine contractions in pregnancy.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Notify the provider if the end of your baby’s penis appears dark red. This is important because it could indicate infection or other complications. Dark red color may suggest poor blood flow or infection, requiring immediate medical attention to prevent further complications.
Incorrect answers:
A: The Plastibell is not typically removed after 4 hours, as it usually falls off on its own within a week.
B: Snug diaper can cause discomfort and hinder proper healing.
C: Yellow exudate forming at the site in 24 hours is normal as part of the healing process.
Therefore, option D is the most critical information for the parents to be aware of.
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 statement indicates an understanding of the teaching because tubal ligation does not affect ovulation; it only blocks the fallopian tubes to prevent the egg from traveling to the uterus. The client should still ovulate as before, but pregnancy is prevented by blocking the egg's path.
Incorrect choices:
A: Premenstrual tension will no longer be present - This is incorrect because tubal ligation does not affect premenstrual tension.
B: My monthly menstrual period will be shorter - This is incorrect as tubal ligation does not affect the length of menstrual periods.
C: Hormone replacements will be needed following this procedure - This is incorrect as tubal ligation does not typically require hormone replacements.
Question 4 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication commonly used to manage postpartum hemorrhage due to uterine atony. It helps to promote uterine contractions and control bleeding. Administering betamethasone (
A) is not indicated in this situation as it is a steroid used for fetal lung maturation. Avoiding sterile vaginal examinations (
B) may delay the identification of the cause of bleeding. Obtaining a specimen for a Kleihauer-Betke test (
D) is used to determine the amount of fetal-maternal hemorrhage and is not the immediate priority in managing uterine atony.
Question 5 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule states to add 7 days to the first day of the last menstrual period, then subtract 3 months, and add 1 year. In this case, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17. This date is the estimated date of delivery.
Choice A (May 13) is incorrect as it does not follow Nägele's Rule.
Choice C (May 3) is too early based on the calculation.
Choice D (May 20) is too late as it exceeds the estimated date.