ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. Levonorgestrel is an emergency contraceptive pill effective in preventing pregnancy if taken within 72 hours of unprotected intercourse. This information is crucial for the adolescent to understand the time-sensitive nature of the medication.
Choice B is incorrect because levonorgestrel can be used even if the individual is on an oral contraceptive.
Choice C is incorrect as the absence of a period does not always indicate pregnancy; it is not a definitive sign.
Choice D is incorrect because levonorgestrel is a single-use emergency contraceptive, not a long-term contraceptive method. By selecting choice A, the nurse ensures the adolescent receives accurate and timely information for effective use of the medication.
Question 2 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 3 of 5
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Urine negative for ketones. In hyperemesis gravidarum, ketones in urine indicate dehydration and increased risk of metabolic acidosis. Reporting this finding is crucial for adjusting the client's fluid replacement therapy. Blood pressure and heart rate within normal range (A,
B) are expected during IV fluid replacement. Adequate urine output (
C) indicates proper kidney perfusion. However, urine negative for ketones (
D) is concerning as it suggests inadequate fluid intake or continued vomiting.
Question 4 of 5
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is a kidney infection that commonly presents with symptoms such as flank pain, fever, chills, and dysuria. Flank pain is a key manifestation due to the inflammation of the kidneys. Epigastric discomfort (choice
A) is more indicative of issues related to the stomach or upper abdomen. Temperature elevation (choice
C) is a common sign of infection but alone is not specific to pyelonephritis. Abdominal cramping (choice
D) is more likely related to gastrointestinal issues. In summary, flank pain is specific to pyelonephritis, making it the correct choice in this scenario.
Question 5 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 response is B: This procedure determines if your baby has genetic or congenital disorders. The rationale behind this is that amniocentesis is a prenatal test that is used to detect genetic conditions, chromosomal abnormalities, and neural tube defects in the fetus. It is not typically done solely to determine the sex of the baby. A is incorrect because there is no age requirement for amniocentesis. C is incorrect because chorionic villus sampling is a different procedure used to detect genetic abnormalities and is not typically done to determine the sex of the baby. D is incorrect because scheduling the procedure without discussing the risks and benefits with the client first is not appropriate.