ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale:
To calculate the number of tablets needed, divide the total dose by the strength of each tablet: 2g / 250mg = 8 tablets. The correct answer is A (8 tablets). Option B (4 tablets) is incorrect as it does not provide the correct dosage. Option C (2 tablets) is incorrect as it also does not provide the correct dosage. Option D (1 tablet) is incorrect as it would be an underdose.
Question 2 of 5
A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with photos of the fetus. This action allows the client to create memories and acknowledge the loss, aiding in the grieving process. It also validates the existence of the stillborn and helps with closure.
A: Limiting the time the fetus is in the room may not address the emotional needs of the client.
C: Instructing the client about a mandatory autopsy may be insensitive and overwhelming during this emotional time.
D: Informing the client about a law requiring them to name the fetus is incorrect and may add unnecessary stress.
Question 3 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) during oxytocin infusion indicate uteroplacental insufficiency. Administering oxygen helps increase oxygen delivery to the fetus, improving oxygenation and reducing the risk of fetal distress. Instructing the client to push (choice
A) may worsen fetal distress. Placing the client in a supine position (choice
C) can further compromise blood flow to the placenta. Initiating an amnioinfusion (choice
D) is not indicated for late decelerations.
Question 4 of 5
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome is characterized by withdrawal symptoms in newborns exposed to drugs in utero. Excessive crying is a common manifestation due to irritability and discomfort. Diminished deep tendon reflexes (choice
A) are not typically associated. Decreased muscle tone (choice
C) is more commonly seen in conditions like hypotonia. Absent Moro reflex (choice
D) is not typically part of neonatal abstinence syndrome.
Question 5 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hours. This instruction is important because frequent feeding helps to establish and maintain a good milk supply, promotes bonding, and ensures the baby receives adequate nutrition.
Choice A is incorrect as breastfeeding should not be limited to a specific time duration.
Choice B is incorrect as offering water to a newborn can interfere with breastfeeding and increase the risk of water intoxication.
Choice C is incorrect as the number of wet diapers can vary, and it is not a reliable indicator of successful breastfeeding.