ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is important during phototherapy as it maximizes the skin exposure to the light, aiding in the breakdown of bilirubin. Removing clothing allows for better absorption of the therapeutic light.
A is incorrect as water should not be given to a newborn without a specific medical indication. B is unnecessary and may interfere with the effectiveness of the phototherapy. D is incorrect as a rash is a common side effect of phototherapy and does not necessarily warrant discontinuation of treatment.
Question 2 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. This action is essential during a nonstress test as it helps to monitor the baby's heart rate in response to its movements, providing crucial information about fetal well-being. Pressing the button allows the nurse to correlate fetal movements with changes in the heart rate, helping to assess the baby's overall health and response to stimuli. Maintaining the client NPO (
A) is not necessary for a nonstress test. Placing the client in a supine position (
B) can decrease blood flow to the baby and is not recommended. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movements, affecting the accuracy of the test results.
Question 3 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Rationale:
- Dairy products can exacerbate symptoms of hyperemesis gravidarum due to their high-fat content.
- Eliminating dairy can help reduce nausea and vomiting.
- It shows the client understands the importance of modifying their diet for symptom management.
Incorrect Options:
- A: Choosing taste over balanced meals may not address the client's nutritional needs.
- B: Avoiding bedtime snacks may not directly impact hyperemesis gravidarum symptoms.
- C: Hot tea may not necessarily be beneficial for managing hyperemesis gravidarum.
Summary: Eliminating dairy is crucial in managing hyperemesis gravidarum by reducing symptoms, unlike the other options that may not directly address the condition.
Question 4 of 5
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should increase my protein intake to 60 grams each day." This is because protein is essential for the growth and development of the fetus. During pregnancy, the recommended daily protein intake increases to support the baby's growth. Adequate protein intake also helps prevent complications such as low birth weight. Increasing protein to 60 grams per day is a specific and appropriate guideline for a client at 10 weeks of gestation.
Choice B is incorrect as hydration is important, but the specific amount of 2 liters per day is not necessarily tailored to the client's needs.
Choice C is incorrect as the increase in caloric intake during pregnancy is typically around 300-500 calories per day, not a fixed 300 calories for all individuals.
Choice D is incorrect as the recommended daily intake of folic acid during pregnancy is 400-800 micrograms, not a fixed amount of 600 micrograms. It is important for neural tube development in the fetus.
Question 5 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answers are A and C. A flaccid uterus indicates a lack of uterine tone, which can lead to postpartum hemorrhage. Administering oxytocin helps to stimulate contractions, restoring uterine tone and reducing bleeding. Excess vaginal bleeding is also an indication for oxytocin as it helps to control bleeding by promoting uterine contractions.
Choices B, D, and the remaining options do not directly relate to the need for oxytocin administration in postpartum care. A cervical laceration would require appropriate wound management, and increased afterbirth cramping may not necessarily warrant oxytocin administration unless coupled with other signs of uterine atony.