ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake 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 way to evaluate medication adherence for a client taking digoxin. Digoxin has a narrow therapeutic range, so checking the serum level helps determine if the client is taking the medication as prescribed. If the level is within the therapeutic range, it indicates adherence. Asking the client if they are taking the medication (
A) relies on self-reporting, which may not be accurate. Assessing kidney function (
B) and determining apical pulse rate (
C) are important for monitoring digoxin therapy but do not directly assess medication adherence. Checking the serum medication level provides objective data to confirm adherence.
Question 2 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 answer is B: This procedure determines if your baby has genetic or congenital disorders. At 12 weeks of gestation, amniocentesis is typically not done to determine the sex of the fetus but rather to identify genetic abnormalities or congenital disorders. Providing this information allows the client to make informed decisions about their pregnancy and potential interventions.
A: You cannot have an amniocentesis until you are at least 35 years of age - This statement is incorrect as age alone is not the sole criteria for recommending amniocentesis.
C: Your provider will schedule a chorionic villus sampling to determine the sex of your baby - Chorionic villus sampling is also not typically done to determine the sex of the fetus.
D: We can schedule the procedure for later today if you’d like - This is incorrect as scheduling an amniocentesis without a medical indication is not appropriate.
Question 3 of 5
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Transmission can occur via the saliva and urine of the newborn. This is because cytomegalovirus (CMV) is commonly spread through bodily fluids like saliva, urine, and breast milk. It is important for the nurse manager to emphasize this point to the newly licensed nurses to highlight the potential routes of transmission.
Choice A is incorrect because acyclovir is not used for the treatment of CMV; it is used for herpes simplex virus infections.
Choice C is incorrect because CMV typically does not present with visible lesions on the mother's genitalia.
Choice D is incorrect because CMV is not transmitted through airborne routes, so airborne precautions are not necessary. It is important to focus on educating about the correct modes of transmission to prevent the spread of CMV.
Question 4 of 5
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
Correct Answer: D
Rationale: The correct answer is D, Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils provide approximately 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, while a good source of fiber, typically contains around 4 grams per cup. Cabbage and asparagus have lower fiber content compared to lentils. In summary, lentils are the best choice for increasing dietary fiber due to their high fiber content per cup, which can effectively help relieve constipation in the antepartum client.
Question 5 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 hr. This instruction is important for establishing and maintaining a good milk supply, promoting proper infant growth and development, and preventing common breastfeeding issues like engorgement and mastitis. Feeding on demand also helps ensure the baby receives enough nutrients and helps establish a strong breastfeeding relationship.
A: Feed the newborn 5 to 10 min per breast - This is incorrect as it may not allow the baby to get enough hindmilk, which is essential for proper growth.
B: Offer the newborn 30 mL (1 oz) of water between feedings - Giving water to newborns can interfere with breastfeeding and may lead to water intoxication.
C: Expect two to four wet diapers every 24 hr - While monitoring diaper output is important, this alone does not provide adequate guidance on feeding frequency.