ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because a dark red appearance at the end of the baby's penis could indicate infection or poor circulation, which are concerns post-circumcision. The nurse should instruct parents to notify the provider immediately if they observe this change to ensure prompt assessment and treatment.
Choice A is incorrect as the Plastibell is typically removed within 5-8 days, not 4 hours post-procedure.
Choice B is incorrect because a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not a typical finding at the surgical site in 24 hours post-circumcision.
Question 2 of 5
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: D
Rationale: The correct answer is D: "Has your back labor improved?" In the occipitoposterior position, the baby's head is pressing against the mother's sacrum, causing intense back pain known as back labor. By asking if the back labor has improved, the nurse can directly assess the effectiveness of the hands-and-knees position in helping relieve the pressure on the sacrum and potentially rotating the baby into a more favorable position. Option A focuses on suprapubic pain, which is not typically associated with occipitoposterior positioning. Option B addresses pelvic pressure, which may not be directly affected by the hands-and-knees position. Option C inquires about contractions, which are not the primary concern in this scenario.
Question 3 of 5
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Contact precautions. Methicillin-resistant Staphylococcus aureus (MRS
A) is spread through direct contact with an infected individual or contaminated surfaces. Initiating contact precautions involves wearing gloves and gowns when caring for the client to prevent transmission. Droplet precautions (
A) are for diseases spread through respiratory droplets, such as influenza. Protective environment (
C) is used for immunocompromised clients to protect them from outside pathogens. Airborne precautions (
D) are for diseases spread through the air, like tuberculosis.
Therefore, in this scenario, contact precautions are the most appropriate to prevent the spread of MRSA.
Question 4 of 5
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: We need to know if you are positive for GBS at the time of delivery. This is the appropriate response because GBS status can change during pregnancy, and it is crucial to know the status closer to delivery to determine if antibiotics are needed during labor to prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic in pregnant women.
Choice B is incorrect because past negative results do not guarantee current negative status.
Choice C is incorrect because GBS status can change over time.
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. At 12 weeks of gestation, amniocentesis is typically performed to detect genetic abnormalities, not to determine the sex of the fetus. This procedure involves collecting a sample of amniotic fluid to analyze the chromosomes for conditions like Down syndrome. Option A is incorrect as age is not a factor in determining the need for amniocentesis. Option C is incorrect because chorionic villus sampling is used for genetic testing, not determining the sex of the baby. Option D is incorrect because scheduling the procedure without addressing the client's request for sex determination is inappropriate.