ATI RN
RN ATI Maternal Newborn 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating "I will eat foods that taste good instead of balancing my meals," the client shows an understanding of the importance of listening to their body's cravings and preferences while still maintaining a balanced diet to manage hyperemesis gravidarum. This response acknowledges the need to prioritize enjoyment of food while ensuring adequate nutrition.
Incorrect choices:
B: Avoiding a snack before bed may not address the issue of balancing meals throughout the day.
C: Having a cup of hot tea with each meal is unrelated to the principles of balancing meals or addressing hyperemesis gravidarum.
D: Eliminating dairy products may lead to nutrient deficiencies unless alternative sources of calcium and other essential nutrients are included in the diet.
Question 2 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal distress. Oxytocin can further decrease uteroplacental perfusion, worsening the late decelerations. This finding should be reported to the provider immediately to prevent fetal compromise.
Incorrect choices:
B: Moderate variability of the FHR is a reassuring sign of fetal well-being and does not contraindicate the initiation of oxytocin.
C: Cessation of uterine dilation may indicate a prolonged labor but is not a contraindication for oxytocin infusion.
D: Prolonged active phase of labor may require augmentation with oxytocin, so it is not a contraindication on its own.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess fetal well-being in high-risk pregnancies, including conditions that may affect fetal oxygenation like oligohydramnios. Oligohydramnios refers to a decreased level of amniotic fluid, which can lead to fetal compromise and requires close monitoring. Hyperemesis gravidarum (
B) is severe nausea and vomiting in pregnancy, not directly related to fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 4 of 5
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Remove all clothing from the newborn except the diaper. This is important during phototherapy as it maximizes the skin surface exposed to the light, aiding in bilirubin breakdown.
Choice A is incorrect as water feeds are unnecessary and may interfere with breastfeeding.
Choice B is incorrect as lotions can interfere with the effectiveness of phototherapy.
Choice D is incorrect as a rash is a common side effect of phototherapy and does not warrant discontinuation of the therapy.
Question 5 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This is the first action the nurse should take because ensuring the correct identification of the newborn is crucial for providing safe and effective care. Incorrect identification can lead to errors in medication administration, treatment, and monitoring. Confirming the newborn's Apgar score (
A) is important for assessing the newborn's initial condition but is not the priority in this situation. Administering vitamin K (
C) is essential for newborns but can be done after verifying identification. Determining obstetrical risk factors (
D) is important for understanding the newborn's medical history but is not the immediate priority.