ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because tubal ligation does not affect ovulation. The procedure only blocks the fallopian tubes to prevent the egg from traveling to the uterus for fertilization. Ovulation continues normally after tubal ligation.
A: Incorrect. Tubal ligation does not impact premenstrual tension.
B: Incorrect. Menstrual period length is not affected by tubal ligation.
C: Incorrect. Hormone replacements are not typically needed after tubal ligation.
In summary, the client understanding that ovulation will remain the same post-tubal ligation demonstrates comprehension of the teaching.
Question 2 of 5
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Facial petechiae. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can cause pressure on the blood vessels, leading to tiny red or purple spots called petechiae on the baby's face. This is due to the rupture of small blood vessels under the skin. Telangiectatic nevi (choice
A) are unrelated birthmarks. Periauricular papillomas (choice
C) are benign skin-colored growths near the ears. Erythema toxicum (choice
D) is a common rash in newborns not associated with a nuchal cord.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 3 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated | |
|---|---|---|---|
| Insert a large bore intravenous catheter. | |||
| Assess cervical dilation. | |||
| Weigh perineal pads. | |||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: [1, 0, 1]
Inserting a large bore intravenous catheter is indicated for the client to establish a rapid intravenous access for fluid resuscitation or medication administration. Weighing perineal pads (
C) is important to monitor postpartum blood loss. Assessing cervical dilation (
B) is not indicated as it is not relevant in this scenario. Administering methotrexate (
D) is contraindicated as it is a medication used for medical abortions and is not applicable in this context.
Extract:
Question 4 of 5
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B because the client at 34 weeks with epigastric pain could be experiencing preeclampsia, a serious condition in pregnancy. Preeclampsia can lead to severe complications such as eclampsia, stroke, or HELLP syndrome. The nurse should prioritize this client to assess for signs of preeclampsia, such as high blood pressure, proteinuria, and visual changes.
Choice A is incorrect because while gestational diabetes requires monitoring, the blood glucose level of 120 mg/dL is not critically high.
Choice C is incorrect as the hemoglobin level of 10.4 g/dL is slightly below the normal range but does not pose an immediate threat.
Choice D is incorrect as urinary frequency and dysuria are common in late pregnancy and do not indicate an urgent issue.
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.