ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale: Action to Take: A, B; Potential Condition: C; Parameter to Monitor: D, E.
The correct sequence for Leopold maneuvers involves instructing the client to empty their bladder to improve visualization and reduce discomfort during the procedure (
A).
Then, positioning the client supine with knees flexed and placing a small, rolled towel under one hip helps provide better access for palpation (
B). Palpating the fetal part positioned in the fundus (
C) is important to determine the baby's position. Following this, palpating the fetal parts along both sides of the uterus (
D) helps assess the baby's presentation and engagement. Monitoring the parameters of fetal parts and fundal height (E) throughout the process ensures accurate assessment of fetal position and presentation.
Question 2 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases (p200Down Syndrome). This finding is significant because it is associated with Down Syndrome. The nurse should report this to the provider for further evaluation and potential genetic testing. Single palmar creases are a physical characteristic that can indicate the presence of genetic abnormalities. The other choices are common findings in newborns that do not necessarily require immediate reporting. Rust-stained urine may be due to urate crystals, transient circumoral cyanosis can be a normal response to cold or crying, and subconjunctival hemorrhage is often benign and resolves on its own.
Therefore, the nurse should prioritize reporting the single palmar creases to the provider for further assessment.
Question 3 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 4 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 5 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.