ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Correct Answer: A: You should have your provider refit you for a new diaphragm.
Rationale: It is important for the client to have her diaphragm refitted postpartum due to potential changes in the size and shape of the cervix and vaginal canal. This ensures the diaphragm fits properly and provides effective contraception. Using the same diaphragm without refitting may result in decreased efficacy and potential risks. It is crucial for the nurse to emphasize the importance of seeking a healthcare provider for a proper fitting to avoid complications.
Summary of other choices:
B: Using oil-based vaginal lubricant can degrade the diaphragm material, reducing effectiveness.
C: Keeping the diaphragm in place for an extended period increases the risk of toxic shock syndrome.
D: Storing the diaphragm in sterile water can damage the device and is not a recommended storage method.
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 assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Respiratory distress. Hypoglycemia in a newborn can lead to inadequate glucose supply to the brain, causing respiratory distress due to central nervous system depression. Hypertonia (choice
A) is typically seen in hypocalcemia. Increased feeding (choice
B) may be a compensatory mechanism to address hypoglycemia. Hyperthermia (choice
C) is not a common manifestation of hypoglycemia. It is important to monitor for signs of respiratory distress in a late preterm newborn to promptly address hypoglycemia.
Question 4 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn 12 hours after birth can indicate hyperbilirubinemia, which may require medical intervention to prevent complications such as kernicterus. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is a temporary misalignment of the eyes. Caput succedaneum (
D) is localized swelling on a newborn's head from pressure during birth and resolves on its own.
Question 5 of 5
A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Correct Answer: B
Rationale: The correct answer is B: Active phase of labor. At 9 cm dilation, the client is transitioning from the latent phase to the active phase. In the active phase, the cervix typically dilates from 6 to 10 cm. The client's contractions are close together and long-lasting, indicating active labor. Rectal pressure is common during the active phase as the baby descends further. The passive descent (
A) phase occurs later in labor when the cervix is fully dilated, and the client is ready to push. Early phase (
C) is characterized by slow cervical dilation from 0 to 6 cm. Descent (
D) phase is not a recognized phase of labor.