ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a commonly used medication for infertility that can cause hormonal changes leading to breast tenderness. This adverse effect is important for the client to be aware of. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with clomiphene citrate use and are not commonly reported side effects.
Therefore, they are incorrect choices.
Question 2 of 5
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates understanding because it aligns with the recommendation for newborns to be positioned at a 45-degree angle in a rear-facing car seat to prevent head flop and ensure proper breathing. This angle helps maintain an open airway and reduces the risk of suffocation. Incorrect answers: A suggests using a sleep sack, which may interfere with the harness straps and compromise safety. B is incorrect as a car seat challenge test is typically done for premature infants, not full-term newborns. D is incorrect as the recommendation is to keep infants in a rear-facing position until they reach the height or weight limit specified by the car seat manufacturer, typically beyond the age of 1.
Question 3 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.
Extract:
“A nurse on an antepartum unit is caring for a client.
Exhibit1:
Nurses' Notes 0900:Client reports a small amount of bright red blood in their underwear upon
awakening. Client denies contractions or abdominal pain. External fetal monitor applied.
0930:Client passed large amount of bright red blood from vagina.
Denies pain Uterine tone soft and nontender to palpation.
contraction pattern, no contractions noted.
Fetal heart rate pattern: Fetal heart rate baseline 135/min.
Moderate variability. No decelerations noted.
Exhibit2:
Vital Signs 0900: Temperature 36.2°C (97.2° F) Pulse rate 78/min Respiratory rate 20/min Blood pressure
112/64 mm Hg Fetal heart rate 132/min Pulse rate 82/min Blood pressure 116/60 mm Hg Fetal heart
rate 160/min
Exhibit3:
Medical History. G4P3 30 weeks gestation Previous pregnancies delivered via cesarean section
Question 4 of 5
Which of the following nursing actions should the nurse plan to take? For each potential nursing action, click to specify it the intervention is indicated or contraindicated for the client.
| Potential Nursing Action | Indicated | Contraindicated | |
|---|---|---|---|
| Insert a large bore intravenous catheter. | |||
| Assess cervical dilation. | |||
| Weigh perineal pads. | |||
| Administer methotrexate. |
Correct Answer: A, C
Rationale: [,(0,0,1),(0,0,0),(0,0,0)]
Correct Answer: A, C
Rationale:
A: Inserting a large bore intravenous catheter is indicated for administering medications or fluids rapidly in emergency situations.
C: Weighing perineal pads is indicated to monitor postpartum hemorrhage.
Assessing cervical dilation (
B) is not necessary in this scenario. Administering methotrexate (
D) is not a nursing action.
Extract:
Question 5 of 5
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Fortified soy milk is a good source of vitamin B12, which is essential for individuals following a vegan diet as it is mainly found in animal products. Raw carrots, fresh citrus fruits, and brown rice do not contain vitamin B12. The rationale is to recommend fortified soy milk to ensure the client meets their vitamin B12 needs.