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 at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I should empty my bladder before the procedure."
Rationale: Emptying the bladder before amniocentesis helps prevent puncturing the bladder during the procedure due to its proximity to the uterus. This statement indicates understanding of the importance of bladder emptying to ensure a safe and successful amniocentesis.
Summary of other choices:
B: Incorrect - Lying on the side is not a key instruction for amniocentesis.
C: Incorrect - Most amniocentesis procedures are performed while the client is awake.
D: Incorrect - Fasting is not necessary for amniocentesis; it is a simple and quick procedure that does not require fasting.
Question 2 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 3 of 5
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A - "I should empty my bladder before the procedure."
Rationale: Emptying the bladder before amniocentesis helps prevent puncturing the bladder during the procedure due to its proximity to the uterus. This statement indicates understanding of the importance of bladder emptying to ensure a safe and successful amniocentesis.
Summary of other choices:
B: Incorrect - Lying on the side is not a key instruction for amniocentesis.
C: Incorrect - Most amniocentesis procedures are performed while the client is awake.
D: Incorrect - Fasting is not necessary for amniocentesis; it is a simple and quick procedure that does not require fasting.
Question 4 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale:
To perform Leopold maneuvers on a client at 36 weeks gestation, the nurse should follow these steps:
A) Instruct the client to empty their bladder to provide better visualization and palpation of the uterus.
B) Position the client supine with knees flexed and place a small, rolled towel under one of their hips to enhance comfort and relaxation.
C) Palpate the fetal part positioned in the fundus to determine the presentation and position of the baby.
D) Palpate the fetal parts along both sides of the uterus to assess for consistency and location. These steps ensure accurate assessment of fetal position and presentation.
Choices E, F, and G are not applicable in the Leopold maneuvers sequence and do not contribute to the accurate assessment of the fetus.
Question 5 of 5
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. Newborns of mothers with gestational diabetes are at risk for hypoglycemia due to their own insulin production being higher to compensate for the mother's high glucose levels. Jitteriness is a common sign of hypoglycemia in newborns due to the brain's dependence on glucose for energy. Abdominal distention, petechiae, and increased muscle tone are not typical manifestations of hypoglycemia in newborns. Abdominal distention may indicate other issues such as bowel obstruction, petechiae can be a sign of bleeding disorders, and increased muscle tone is not specific to hypoglycemia.