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: The correct answer is D: "I will eliminate products that contain dairy from my diet." This is the correct choice because dairy products can exacerbate symptoms of hyperemesis gravidarum due to their high fat content, which can be difficult to digest during pregnancy. By eliminating dairy products, the client can potentially reduce nausea and vomiting.
A: "I will eat foods that taste good instead of balancing my meals." This choice is incorrect because focusing solely on taste without considering nutritional balance may not address the client's specific dietary needs during hyperemesis gravidarum.
B: "I will avoid having a snack before I go to bed each night." This choice is not directly related to managing hyperemesis gravidarum through dietary changes.
C: "I will have a cup of hot tea with each meal." While hot tea can be soothing, it may not address the specific dietary modifications needed for managing hyperemesis gravidarum.
Question 2 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 action is essential during phototherapy as it maximizes the area of skin exposed to the light, promoting the breakdown of bilirubin. Adequate hydration is crucial, so option A is incorrect. Applying lotion can interfere with the effectiveness of the therapy, so option B is incorrect. Discontinuing therapy for a rash is not advisable as it may worsen the hyperbilirubinemia, making option D incorrect.
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Provider Prescriptions
1300:
Standing prescriptions for clients who present with abdominal pain:
Obtain laboratory tests:
Urinalysis
Cervical culture
C-reactive protein
Beta hCG
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. A nurse should report abnormalities in abdominal assessment (
A) as it can indicate various health issues. Vaginal discharge (
B) can be a sign of infection or other conditions, warranting attention. Temperature (
D) is a vital sign that can indicate infection or illness. Dyspareunia (E) is a symptom of possible gynecological issues that require evaluation. Condom usage (F) is important for assessing safe sex practices and potential risk factors. Heart rate (
C) is a routine vital sign and not typically a finding that requires immediate reporting unless it is significantly abnormal.
Extract:
Question 4 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. The rationale behind this is that amniocentesis is a prenatal test that is used to detect genetic conditions, chromosomal abnormalities, and neural tube defects in the fetus. It is not typically done solely to determine the sex of the baby. A is incorrect because there is no age requirement for amniocentesis. C is incorrect because chorionic villus sampling is a different procedure used to detect genetic abnormalities and is not typically done to determine the sex of the baby. D is incorrect because scheduling the procedure without discussing the risks and benefits with the client first is not appropriate.
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. Without proper identification, there is a risk of administering medications or treatments to the wrong newborn. Confirming the newborn's Apgar score can be important but is not as time-sensitive as verifying identification. Administering vitamin K and determining obstetrical risk factors are important tasks but should come after verifying the newborn's identification to ensure the safety of the care provided.