ATI RN
ATI Maternity Nur230 Questions
Extract:
Infant diagnosed with spina bifida scheduled for surgical closure of myelomeningocele sac
Question 1 of 5
A nurse is formulating a care plan for an infant diagnosed with spina bifida who is scheduled for a surgical closure of the myelomeningocele sac. Which of the following interventions should be incorporated into the care plan?
Correct Answer: C
Rationale: A latex-free environment is essential due to the high risk of latex allergy in spina bifida patients.
Extract:
Client for a local health fair about breast self-examination (BSE)
Question 2 of 5
A community health nurse is developing a pamphlet about breast self-examination (BSE) for a local health fair. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Examining breasts in the shower with soapy hands facilitates smooth gliding of fingers, making it easier to detect lumps or changes.
Extract:
Child who has Kawasaki disease
Question 3 of 5
A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?
Correct Answer: D
Rationale: Kawasaki disease primarily affects the cardiovascular system, causing vasculitis and potential heart complications, requiring close monitoring.
Extract:
Child who has recovered from an acute crisis episode of sickle cell anemia
Question 4 of 5
A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Frequent fluid intake prevents dehydration, which can trigger sickle cell crises by increasing blood viscosity.
Extract:
Client in the first trimester with health record G3 T1 P0 A1 L1
Question 5 of 5
A nurse in a prenatal clinic is caring for a client in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply.)
Correct Answer: A,D,E
Rationale: G3 indicates three pregnancies, T1 one full-term birth, and L1 one living child; no twin pregnancy is indicated.