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:
Correct
Answer: D. Notify the provider if the end of your baby’s penis appears dark red.
Rationale: Dark red appearance at the end of the baby's penis could indicate infection or poor blood flow, requiring immediate medical attention to prevent complications. This information is crucial for parents to recognize potential risks post-circumcision.
Summary of other choices:
A: The Plastibell is usually removed after a few days, not 4 hours. Incorrect.
B: Snug diapers can cause irritation. Not relevant to Plastibell circumcision. Incorrect.
C: Yellow exudate forming in 24 hours is normal post-circumcision. Not concerning. Incorrect.
Question 2 of 5
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This statement indicates an understanding of tubal ligation, which is a permanent method of contraception that prevents pregnancy by blocking the fallopian tubes. Ovulation, the release of an egg from the ovary, will continue to occur after tubal ligation. This is because tubal ligation does not affect the hormonal process of ovulation.
Choice A is incorrect because premenstrual tension can still occur even after tubal ligation.
Choice B is incorrect as tubal ligation does not affect the duration of menstrual periods.
Choice C is incorrect because hormone replacements are not typically needed after tubal ligation unless there are other underlying medical conditions.
Question 3 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale:
Choice C, anticipating a prescription for misoprostol, is correct. Misoprostol helps to contract the uterus and control bleeding in cases of uterine atony postpartum. Administering betamethasone (
A) is used for fetal lung development, not for uterine atony. Avoiding sterile vaginal exams (
B) is not helpful in managing uterine atony. Obtaining a specimen for a Kleihauer-Betke test (
D) is used to detect fetal-maternal hemorrhage, not to manage uterine atony.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule involves adding 7 days to the first day of the last menstrual period, subtracting 3 months, and then adding 1 year. In this case, starting from August 10, add 7 days to get August 17. Next, subtract 3 months to get May 17, and finally add 1 year to get the estimated date of delivery as May 17.
Choice A (May 13) is incorrect as it does not follow the correct calculation steps.
Choice C (May 3) is incorrect as it miscalculates the months.
Choice D (May 20) is incorrect as it does not consider the subtraction of 3 months.
Question 5 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 primarily spread through direct contact with contaminated skin or surfaces. Contact precautions involve wearing gloves and gowns when in contact with the client or the client's environment to prevent the spread of the infection. Droplet precautions are used for infections transmitted through respiratory droplets, such as influenza. Protective environment precautions are for immunocompromised clients. Airborne precautions are for infections transmitted through small droplets that stay in the air for long periods, such as tuberculosis.
Therefore, the most appropriate precaution for a client with MRSA at 36 weeks of gestation is contact precautions to prevent transmission of the infection through direct contact.