ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.
Question 2 of 5
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow.
Correct Answer: A,B,CD
Rationale: The correct sequence for performing Leopold maneuvers is A, B, C, and D. Firstly, palpating the fundus (
A) helps identify the fetal part and presentation. Secondly, determining the location of the fetal back (
B) provides information on the fetal lie. Next, palpating for the fetal part at the inlet (
C) helps confirm the presenting part. Lastly, identifying the attitude of the head (
D) provides important information on the fetal position for delivery. This sequence ensures a systematic approach to assessing the fetal presentation and position.
Choices E, F, and G are incorrect as they do not follow the logical order of Leopold maneuvers and may lead to inaccurate assessment.
Question 3 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. The nurse should include information about notifying the provider if the end of the baby's penis appears dark red as it could indicate infection or other complications. This is important for early detection and prompt intervention.
Choice A is incorrect as the Plastibell is typically removed after a few days, not 4 hours.
Choice B is incorrect as a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not typically expected at the surgical site.
Question 4 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return to the heart and increases blood pressure in hypotensive clients. It prevents aortocaval compression, which can lead to decreased cardiac output. Turning the client to a side-lying position is a simple and effective intervention to manage hypotension in this situation.
Other choices are incorrect:
B: Applying oxygen is not the priority in this scenario as the client's hypotension is likely due to the epidural anesthesia and not respiratory distress.
C: Massaging the fundus is not indicated as the client is not postpartum or experiencing uterine atony.
D: Assisting the client to empty their bladder may be important but does not directly address the hypotension caused by epidural anesthesia.
Question 5 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Levonorgestrel is an emergency contraceptive pill effective in preventing pregnancy if taken within 72 hours of unprotected intercourse. This information is crucial for the adolescent to understand the time-sensitive nature of the medication.
Choice B is incorrect because levonorgestrel can be used even if the individual is on an oral contraceptive.
Choice C is incorrect as the absence of a period does not always indicate pregnancy; it is not a definitive sign.
Choice D is incorrect because levonorgestrel is a single-use emergency contraceptive, not a long-term contraceptive method. By selecting choice A, the nurse ensures the adolescent receives accurate and timely information for effective use of the medication.