ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 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 hr. Breastfeeding newborns frequently helps establish milk supply, prevents engorgement, and ensures the baby gets enough nutrients.
Choice A is too limited and may not provide adequate feeding.
Choice B is incorrect as newborns should only be given breast milk or formula, no water.
Choice C is too vague and might not indicate adequate feeding.
Question 2 of 5
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can lead to mood changes, including depression, as a known adverse effect. This is due to hormonal fluctuations caused by the medication.
Choice B, polyuria, is excessive urination which is not typically associated with oral contraceptives.
Choice C, hypotension, is low blood pressure and is not a common adverse effect of this medication.
Choice D, urticaria, is hives or skin rash, which is not directly linked to oral contraceptives. In summary, depression is the correct adverse effect to include in teaching as it is a recognized side effect of combined oral contraceptives, while the other choices are not commonly associated with this medication.
Question 3 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 4 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale:
Correct Answer: A, C
Rationale:
A: Flaccid uterus indicates uterine atony, a common postpartum complication causing excessive bleeding. Oxytocin helps contract the uterus, reducing bleeding.
C: Excess vaginal bleeding is a sign of postpartum hemorrhage. Oxytocin helps by stimulating uterine contractions to control bleeding.
B: Cervical laceration doesn't directly relate to oxytocin administration. It requires repair and not oxytocin.
D: Increased afterbirth cramping is a normal response after delivery, not a direct indication for oxytocin.
Extract:
A nurse is caring for a newborn who is 48 hr old.
Exhibit 1
Vital Signs
Day 2, 0900:
Heart rate 174/min
Respiratory rate 88/min
Temperature 36.1° C (97.0° F)
Oxygen saturation 97% on room air
Exhibit 2
Diagnostic Results
Day 1, 0800: Newborn results
Blood type: A+
Urine toxicology screen: positive marijuana
Day 2, 0800: Newborn results
Total bilirubin 10 mg/dL (1.0 to 12.0 mg/dL)
Day 2, 0915:
Blood glucose: 38 mg/dL (expected value greater than 40 to 45 gm/dL)
Complete the diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client’s progress.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer:
Rationale: Action to Take: A, B; Potential Condition: B; Parameter to Monitor: C, E.
Rationale:
1. The potential condition the client is most likely experiencing is Acute bilirubin encephalopathy .
2. The nurse should take the actions of placing the newborn skin to skin on the birthing parent's chest and encouraging breastfeeding to address this condition.
3. Parameters to monitor include monitoring temperature (to assess for hypothermia related to cold stress) and monitoring the bilirubin level (to assess for bilirubin encephalopathy progression).
Summary:
-
Choice A is incorrect as obtaining a prescription for arterial blood gases and planning phototherapy are not directly related to the potential condition.
-
Choice C is incorrect as monitoring stool output, lung sounds, and blood glucose level are not specific to the potential condition identified.
- It's essential to focus on actions and parameters directly related to the identified potential condition for effective client care.