ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. Nuchal cord occurs when the umbilical cord is wrapped around the baby's neck during delivery. This can cause pressure on the baby's face, leading to small red or purple spots called petechiae. The rationale is that the pressure from the nuchal cord can result in capillary rupture, manifesting as petechiae on the baby's face. Telangiectatic nevi (
A), periauricular papillomas (
C), and erythema toxicum (
D) are unrelated to nuchal cord and would not be expected findings in this scenario.
Question 2 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This is correct because having a full bladder can make it difficult for the healthcare provider to perform the amniocentesis. Emptying the bladder helps provide better access to the uterus for the procedure.
Choice B is incorrect as the client is usually lying on their back during the procedure.
Choice C is incorrect as the client is typically awake during an amniocentesis.
Choice D is incorrect as fasting is not required for this procedure.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 3 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale:
To determine the correct answer, we need to analyze each assessment finding and its correlation with the possible conditions.
- Greenish discharge is typically associated with both trichomoniasis and gonorrhea due to their infection of the reproductive system.
- Pain on urination is a common symptom of both gonorrhea and trichomoniasis due to inflammation and irritation of the urinary tract.
- Abdominal pain is not specific to any of the given conditions but could be present in various infections or conditions.
- Diabetes is not directly related to the symptoms mentioned, as it is a metabolic disorder.
- Absence of condom is not a direct symptom but is important for assessing the risk of sexually transmitted infections.
Therefore, the correct answer is B, D as greenish discharge and pain on urination are consistent with both trichomoniasis and gonorrhea.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 4 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The correct answers are A, B, C, and G. A Coombs test result is important for assessing for hemolytic anemia. Mucous membrane assessment is crucial for detecting dehydration or oxygenation issues. Intake and output are vital indicators of fluid balance. Sclera color can indicate liver function or jaundice.
Choices D, E, and F are not typically findings that would warrant immediate reporting to the provider unless they are significantly abnormal and impacting the patient's condition.
Extract:
Question 5 of 5
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Massage the client's fundus. This is the first action the nurse should take because excessive vaginal bleeding postpartum could indicate uterine atony, which is a common cause of postpartum hemorrhage. Massaging the fundus helps stimulate uterine contractions, which can help control bleeding. This should be done before administering medications like oxytocin (
B) or providing oxygen (
D), as addressing the underlying cause is crucial. Emptying the bladder (
C) is important but comes after addressing the uterine atony.