ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: D
Rationale: The correct answer is D: Third-degree perineal laceration. Using a suppository in a client with a third-degree perineal laceration can increase the risk of infection and delay healing. This type of laceration extends through the perineal muscles, making it important to avoid any unnecessary trauma or irritation to the area. Vaginal candidiasis (choice
A), abdominal distention (choice
B), and afterpains (choice
C) are not contraindications to using a suppository for constipation in this scenario. Vaginal candidiasis and abdominal distention do not directly impact the use of a suppository, and afterpains, while uncomfortable, do not pose a risk with suppository use.
Question 2 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, then subtracting 3 months and adding 1 year. For August 10, adding 7 days gives August 17. Subtracting 3 months gives May 17. This is the estimated date of delivery.
Choice A (May 13) is incorrect because it does not account for the full calculation process.
Choice C (May 3) is incorrect as it is too early based on the calculation.
Choice D (May 20) is incorrect as it is too late based on the calculation.
Question 3 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing this area also minimizes the risk of nerve damage and ensures a more accurate blood sample. Smearing blood onto a reagent strip (choice
B) can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample. Holding the finger above the heart prior to puncture (choice
C) can affect the blood flow and lead to inaccurate results.
Question 4 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. Symptoms include a foul-smelling, yellow-green vaginal discharge. At 20 weeks of gestation, hormonal changes can increase vaginal discharge, but the malodorous aspect is specific to trichomoniasis.
Choice A is incorrect because trichomoniasis typically presents with a thin, frothy discharge, not thick and white.
Choice B, urinary frequency, is not a common symptom of trichomoniasis.
Choice C, vulva lesions, is more indicative of other STIs like herpes or syphilis.
Question 5 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to protect the newborn's eyes during phototherapy as exposure to bright lights can damage the eyes. Closing the eyes with eyepatches helps prevent potential eye damage. Providing glucose water (
A) is not necessary for phototherapy. Turning the newborn every 4 hours (
B) is a routine nursing intervention but not specific to phototherapy. Applying hydrating lotion (
C) is not recommended as it may interfere with the effectiveness of the phototherapy.