ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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: D
Rationale:
Correct Answer: D. "I will eliminate products that contain dairy from my diet."
Rationale: Hyperemesis gravidarum is severe nausea and vomiting during pregnancy, and dairy products can be difficult to digest and may worsen symptoms. Eliminating dairy can help reduce nausea and improve tolerance of food. This statement demonstrates an understanding of dietary modifications to manage hyperemesis gravidarum.
Summary of Other
Choices:
A: Incorrect. Eating foods based on taste without considering nutritional balance may not provide adequate nutrients needed during pregnancy.
B: Incorrect. Avoiding a bedtime snack may not necessarily address the underlying cause of hyperemesis gravidarum and may lead to hunger and poor nutrition.
C: Incorrect. Hot tea may not necessarily alleviate symptoms of hyperemesis gravidarum and might not address the dietary needs of the client.
E: Not provided.
F: Not provided.
G: Not provided.
Question 2 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return to the heart and increases blood pressure in hypotensive clients. It prevents aortocaval compression, which can lead to decreased cardiac output. Turning the client to a side-lying position is a simple and effective intervention to manage hypotension in this situation.
Other choices are incorrect:
B: Applying oxygen is not the priority in this scenario as the client's hypotension is likely due to the epidural anesthesia and not respiratory distress.
C: Massaging the fundus is not indicated as the client is not postpartum or experiencing uterine atony.
D: Assisting the client to empty their bladder may be important but does not directly address the hypotension caused by epidural anesthesia.
Question 3 of 5
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: FHR 152/min. At 18 weeks gestation, a normal fetal heart rate (FHR) ranges from 140-170 beats per minute. This finding indicates a healthy fetal heart rate. A: Deep tendon reflexes 4+ is incorrect as it is not related to gestational age assessment. B: Fundal height 14 cm is too small for 18 weeks gestation, typically it is around 16-20 cm. C: Blood pressure 142/94 mm Hg is high for a pregnant woman and may indicate hypertension.
Question 4 of 5
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D. In a nonstress test, the client is instructed to press a button each time fetal movement is detected. This action helps to correlate fetal movement with fetal heart rate patterns, providing valuable information on fetal well-being. Maintaining NPO status (
A) is not necessary for this test. Placing the client in a supine position (
B) can compress the vena cava and decrease blood flow to the fetus. Instructing the client to massage the abdomen (
C) may artificially stimulate fetal movement, affecting the test results.
Question 5 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" This question is relevant because the occipitoposterior position can cause intense back pain during labor. By asking if the back pain has improved, the nurse can assess the effectiveness of the hands-and-knees position in helping to alleviate this specific discomfort.
Choice A: "Does that lessen your suprapubic pain?" is incorrect because the hands-and-knees position is not specifically targeted at suprapubic pain.
Choice B: "Are you feeling relief from your pelvic pressure?" is incorrect because the hands-and-knees position is more effective for back pain relief rather than pelvic pressure.
Choice C: "Do your contractions feel further apart?" is incorrect because the position change may not directly affect the frequency of contractions.
In summary, the correct question (
D) focuses on the specific issue of back labor associated with occipitoposterior position, making it the most relevant evaluation of the intervention.