ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing this area also minimizes the risk of nerve damage and ensures a more accurate blood sample. Smearing blood onto a reagent strip (choice
B) can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample. Holding the finger above the heart prior to puncture (choice
C) can affect the blood flow and lead to inaccurate results.
Question 2 of 5
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. Postpartum peripartum cardiomyopathy is a serious condition that can lead to heart failure. Monitoring blood pressure is crucial to detect any changes or worsening of the condition early. Assessing blood pressure twice daily allows for timely intervention if hypertension or hypotension occurs. Options A, C, and D are incorrect. Misoprostol is not indicated for peripartum cardiomyopathy. Restricting fluid intake can exacerbate heart failure symptoms. Administering an IV bolus of lactated Ringer's may worsen fluid overload in a client with cardiomyopathy.
Question 3 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 involves adding 7 days to the first day of the last menstrual period, then subtracting 3 months and adding 1 year. For August 10, adding 7 days gives August 17. Subtracting 3 months gives May 17. This is the estimated date of delivery.
Choice A (May 13) is incorrect because it does not account for the full calculation process.
Choice C (May 3) is incorrect as it is too early based on the calculation.
Choice D (May 20) is incorrect as it is too late based on the calculation.
Question 4 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial palsy. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is often seen in newborns, but not directly related to forceps delivery. Hypoglycemia (
B) can occur due to various reasons, not specifically linked to forceps delivery. Bronchopulmonary dysplasia (
C) is a lung condition seen in premature infants, not directly caused by forceps delivery.
Therefore, the correct choice is D as it directly relates to the complications of forceps-assisted birth.
Question 5 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a commonly used medication for infertility that can cause hormonal changes leading to breast tenderness. This adverse effect is important for the client to be aware of. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use and are not commonly reported side effects.
Therefore, they are incorrect choices.