ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 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 2 of 5
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). High blood glucose levels during pregnancy can indicate gestational diabetes, which poses risks to both the mother and the baby. The nurse should report this finding to the provider for further evaluation and management.
Choice A (Hematocrit 37%): Falls within the normal range for pregnancy and does not require immediate reporting.
Choice B (Creatinine 0.9 mg/dL): Within the normal range and does not indicate a concerning issue at this time.
Choice C (WBC count 11,000/mm3): Slightly elevated, but can be a normal physiological response during pregnancy and does not necessarily warrant immediate reporting.
In summary, the correct answer is D as it signifies a potential health concern that requires further assessment.
Choices A, B, and C are within normal ranges for pregnancy and do not pose immediate risks.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Medical History:
• Gravida 2 Para 2
• Cesarean birth
• Deep vein thrombosis with previous pregnancy
• Preeclampsia
• BMI of 32
Question 3 of 5
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
| Findings 24 hr later | Indication of worsening condition | Indication of improving condition |
|---|---|---|
| Increased warmth in the extremity | ||
| Tachycardia | ||
| Leukocytosis | ||
| Scant lochia rubra | ||
| Decreased extremity edema |
Correct Answer:
Rationale:
Correct Answer: A: Increased warmth in the extremity
Rationale: In a client with deep vein thrombosis, increased warmth in the extremity is a concerning finding as it may indicate worsening of the condition due to potential inflammation or clot progression. This should be checked to monitor for complications. Tachycardia and leukocytosis are general indicators of systemic inflammation and infection, not specific to deep vein thrombosis. Scant lochia rubra and decreased extremity edema are not relevant to assessing deep vein thrombosis.
Extract:
Question 4 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have one of the highest fiber contents per cup among the options provided, with approximately 15.6 grams of fiber. This high fiber content helps in promoting bowel regularity and preventing constipation in the antepartum client. Oatmeal, while a good source of fiber, typically contains around 4 grams of fiber per cup, which is lower compared to lentils. Cabbage and asparagus have lower fiber content per cup compared to lentils. In summary, lentils are the best choice for increasing dietary fiber to alleviate constipation in the antepartum client among the given options.
Question 5 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.