ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Question 2 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations in fetal heart rate (FHR) indicate uteroplacental insufficiency, possibly due to decreased oxygen supply to the fetus. Providing oxygen via nonrebreather facemask can help increase oxygenation to the mother, subsequently improving oxygen delivery to the fetus. This intervention aims to address the underlying cause of late decelerations and improve fetal oxygenation.
Choice A is incorrect because instructing the client to bear down and push with contractions can further compromise fetal oxygenation.
Choice C is incorrect as placing the client in a supine position can worsen late decelerations by reducing placental perfusion.
Choice D, initiating an amnioinfusion, is not indicated for late decelerations. It is important to prioritize actions that improve oxygenation in this scenario.
Question 3 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication requiring immediate medical attention. Cool, clammy skin suggests poor perfusion and potential hemorrhage. Reporting this to the provider promptly can help prevent further complications.
Choices B, C, and D are within the expected range for a postpartum client and do not indicate a need for immediate intervention. Lochia serosa is the normal vaginal discharge after childbirth. A heart rate of 89/min and blood pressure of 120/70 mm Hg are also within normal limits for a postpartum client.
Question 4 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:
Correct Answer: D. "I will eliminate products that contain dairy from my diet."
Rationale: Hyperemesis gravidarum is severe nausea and vomiting during pregnancy, and dairy products can be difficult to digest and may worsen symptoms. Eliminating dairy can help reduce nausea and improve tolerance of food. This statement demonstrates an understanding of dietary modifications to manage hyperemesis gravidarum.
Summary of Other
Choices:
A: Incorrect. Eating foods based on taste without considering nutritional balance may not provide adequate nutrients needed during pregnancy.
B: Incorrect. Avoiding a bedtime snack may not necessarily address the underlying cause of hyperemesis gravidarum and may lead to hunger and poor nutrition.
C: Incorrect. Hot tea may not necessarily alleviate symptoms of hyperemesis gravidarum and might not address the dietary needs of the client.
E: Not provided.
F: Not provided.
G: Not provided.
Extract:
A nurse is caring for a newborn who is 70 hr old. Exhibit 1
Medical History
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.
Birth weight 3,515 g (7 lb 12 oz)
Apgar scores 8 at 1 min and 9 at 5 min
Maternal history of methadone use during pregnancy.
Exhibit 2
Vital Signs
0700:
Heart rate 156/min
Respiratory rate 58/min
Temperature 37.2° C (98.9° F)
Oxygen saturation 98% on room air
1100:
Heart rate 160/min
Respiratory rate 60/min
Temperature 37.3° C (99.2° F)
Oxygen saturation 96% on room air
Exhibit 3
Physical Examination
1100:
Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously on pacifier but
breastfeeds poorly. Respirations unlabored. Lungs sound clear on auscultation. Increased muscle
tone with moderate to severe tremors when disturbed. Hyperactive Moro reflex noted. Several
loose stools today.
Exhibit 4
Diagnostic Results
Maternal urine toxicology screen positive for opiates (negative)
Newborn urine toxicology screen positive for opiates (negative)
Question 5 of 5
Which of the following findings should the nurse report to the provider? Select all that apply.
Correct Answer: C,D
Rationale: The nurse should report central nervous system (CNS) and gastrointestinal (GI) findings to the provider as they may indicate significant health issues. CNS findings can suggest neurological problems, such as changes in mental status or weakness, requiring immediate attention. GI findings, like abdominal pain or bleeding, can indicate potential digestive system issues needing prompt evaluation. Reporting respiratory findings and oxygen saturation is important too but typically not as urgent as CNS and GI issues. It is essential to prioritize CNS and GI findings for timely intervention.