ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup among the given options. One cup of cooked lentils contains about 15.6 grams of fiber, making it an excellent choice for increasing dietary fiber intake. Fiber helps prevent and alleviate constipation by promoting regular bowel movements. Oatmeal, cabbage, and asparagus also contain fiber, but in lower amounts compared to lentils. Oatmeal typically has around 4 grams of fiber per cup, while cabbage and asparagus have even lower fiber content.
Therefore, lentils are the best choice for the antepartum client aiming to increase fiber intake for constipation relief.
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:
Correct Answer: C - Remove all clothing from the newborn except the diaper.
Rationale: Phototherapy involves exposing the newborn's skin to light to breakdown excess bilirubin.
To maximize the effectiveness of phototherapy, the newborn should have as much skin exposed to the light as possible. Removing all clothing except the diaper ensures that the most surface area is exposed to the light, improving bilirubin breakdown.
Summary of other choices:
A: Feeding water is not directly related to phototherapy for hyperbilirubinemia.
B: Applying lotion does not aid in the effectiveness of phototherapy.
D: Discontinuing therapy due to a rash may compromise the treatment of hyperbilirubinemia.
Question 3 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C - The car seat should be positioned in the car at a 45-degree angle.
Rationale: Placing the car seat at a 45-degree angle is crucial for newborns and premature babies as it helps prevent their head from falling forward, ensuring proper breathing and airway protection. This angle also supports the baby's developing spine and neck muscles. It is a key safety measure recommended for all infants, particularly those born prematurely, to reduce the risk of oxygen desaturation and apnea episodes during travel.
Other
Choices:
A: Using a sleep sack in the car seat may cause overheating and compromise the baby's safety.
B: A car seat challenge test is typically done for preterm infants, not babies born at 38 weeks.
D: Turning a baby's car seat forward-facing at 1 year old is not recommended as rear-facing is safer until at least 2 years old.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This location is recommended for blood glucose testing as it is less painful and has fewer nerve endings compared to other areas. Puncturing the finger while still damp with antiseptic solution (choice
A) may dilute the blood sample, leading to inaccurate results. Smearing the blood onto the reagent strip (choice
B) is not recommended as it can affect the accuracy of the reading. Holding the finger above the heart prior to puncture (choice
C) may increase blood flow and lead to a higher glucose reading.
Therefore, choosing the lateral side of the finger for puncture is the best option to ensure accurate and reliable blood glucose results.
Question 5 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.