ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will continue taking my insulin if I experience nausea and vomiting." This statement indicates an understanding of the importance of insulin therapy in managing blood glucose levels, even during episodes of nausea and vomiting that may commonly occur during pregnancy. It shows that the client recognizes the need to maintain stable blood sugar levels to prevent complications for both herself and the fetus.
Choice A is incorrect because insulin needs may vary during pregnancy, but not necessarily needing to be increased in the first trimester specifically.
Choice B is incorrect because moderate exercise is generally recommended, but not when blood glucose levels are high.
Choice D is incorrect as a bedtime snack high in refined sugar can lead to blood sugar spikes.
Question 2 of 5
A nurse is assessing a client who is postpartum following a cesarean birth. The client states, 'I feel like I have to urinate but I can’t go.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because assisting the client to ambulate to the bathroom can help relieve pressure on the bladder and facilitate urination. Walking can also help stimulate bladder emptying. Inserting a urinary catheter (
Choice
B) is invasive and should be avoided unless necessary. Performing a bladder scan (
Choice
C) may be considered if the client continues to have difficulty urinating after ambulating. Administering a diuretic (
Choice
D) is not indicated as it may exacerbate the issue by increasing urine production without addressing the underlying cause.
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: The correct answer is A: Apply a moist, warm compress to the perineum. This action helps reduce swelling, promote circulation, and provide comfort to the client with a fourth-degree laceration. Moist heat can also aid in pain relief and improve healing by increasing blood flow to the area.
Choice B is incorrect as a cool sitz bath may not be appropriate for a client with a fourth-degree laceration, as it can potentially cause discomfort and may not promote healing.
Choice C, administering methylergonovine, is not indicated for a perineal laceration but rather for postpartum hemorrhage.
Choice D, applying povidone-iodine, can be too harsh for the healing perineal tissue and may cause irritation.
Question 4 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answer choices, A, C, and D, all contribute to an increased risk of postpartum hemorrhage. A, labor induction with oxytocin, can lead to uterine hyperstimulation, increasing the risk of postpartum hemorrhage. C, vacuum-assisted delivery, may cause trauma to the birth canal, leading to increased bleeding. D, history of uterine atony, indicates a previous inability of the uterus to contract effectively, which is a major risk factor for postpartum hemorrhage.
Therefore, these factors collectively place the client at a higher risk for postpartum hemorrhage.
Choices B and E are incorrect as they do not directly relate to the risk of postpartum hemorrhage.
Question 5 of 5
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Jaundice. Jaundice in a newborn 12 hours after birth can indicate hyperbilirubinemia, which may require medical intervention to prevent complications such as kernicterus. Acrocyanosis (
A) is a common finding in newborns due to immature circulation. Transient strabismus (
B) is a temporary misalignment of the eyes. Caput succedaneum (
D) is localized swelling on a newborn's head from pressure during birth and resolves on its own.