ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for a client taking digoxin because digoxin has a narrow therapeutic range, and monitoring the serum level ensures the client is taking the medication as prescribed. Checking the serum level provides an objective measurement of how much digoxin is in the client's system, indicating adherence. Asking the client if they are taking the medication (choice
A) relies on self-reporting and may not be accurate. Assessing kidney function (choice
B) is important for digoxin monitoring but does not directly evaluate medication adherence. Determining the apical pulse rate (choice
C) is essential for digoxin therapy but does not directly assess adherence.
Question 2 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hours. This instruction is important because frequent feeding helps to establish and maintain a good milk supply, promotes bonding, and ensures the baby receives adequate nutrition.
Choice A is incorrect as breastfeeding should not be limited to a specific time duration.
Choice B is incorrect as offering water to a newborn can interfere with breastfeeding and increase the risk of water intoxication.
Choice C is incorrect as the number of wet diapers can vary, and it is not a reliable indicator of successful breastfeeding.
Question 3 of 5
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A - Apply a moist, warm compress to the perineum.
Rationale: Applying a moist, warm compress helps to reduce swelling and promote healing in the perineal area. This can provide comfort and pain relief for the client with a fourth-degree laceration. It also helps to increase blood flow to the area, aiding in the healing process.
Summary of other choices:
B: Providing a cool sitz bath may not be appropriate for a fourth-degree laceration as warmth is usually more soothing and beneficial.
C: Administering methylergonovine may be contraindicated as it can cause uterine contractions and increase the risk of bleeding in a client with a fourth-degree laceration.
D: Applying povidone-iodine may be too harsh for the delicate perineal area and can potentially cause irritation or delay healing.
Question 4 of 5
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. Informed consent is crucial before any medical procedure, including administering medication. It ensures the client understands the risks, benefits, and alternatives to the treatment. Without informed consent, the client's autonomy and right to make decisions about their care are violated. This step is essential for legal and ethical reasons.
Choice A is incorrect because room temperature for the medication is not specified in the protocol.
Choice B is incorrect as positioning after administration may vary depending on the provider's preference.
Choice C is incorrect as the client should not be restricted from urinating. It's important to maintain hydration and avoid urinary retention.
Question 5 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.