ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 1 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Perform a vaginal examination by applying upward pressure on the presenting part. This action is crucial to assess the progress of labor and determine if there is a risk of cord prolapse, a serious obstetric emergency. By applying upward pressure, the nurse can alleviate pressure on the cord and prevent potential complications. Administering oxygen (
A) may be necessary but is not the immediate priority. Covering the umbilical cord (
B) does not address the potential emergency. Initiating IV fluids (
C) is important, but assessing the cord position takes precedence.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to evaluate urinary output (
Choice
C). This is important post-surgery to assess renal function and fluid balance. Monitoring urine output can indicate adequate organ perfusion and hydration status. It helps in early detection of complications like renal failure. Applying an ice pack (
Choice
A) may be indicated for pain but is not the priority. Replacing the surgical dressing (
Choice
B) is important but not as crucial as evaluating urinary output. Administering IV bolus (
Choice
D) may be necessary in certain situations, but assessing urinary output should be done first to determine the need for fluid administration.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Anticipate a prescription for misoprostol. This is the correct action because misoprostol is commonly used in obstetrics to induce labor or manage postpartum hemorrhage. The nurse should anticipate this prescription to be prepared to administer it as needed.
Choice A is incorrect as sterile vaginal examinations may be necessary for assessment and care.
Choice C is incorrect as a Kleihauer-Betke test is used to detect fetal-maternal hemorrhage, not typically indicated in this scenario.
Choice D is incorrect as betamethasone is a corticosteroid used for fetal lung maturity, not indicated in this situation.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene and preventing skin irritation. Washing with plain water is gentle and safe for a baby's delicate skin.
Choice A is incorrect as bathing immediately after feeding can lead to discomfort and potential choking hazards.
Choice B is incorrect as soft mattresses can increase the risk of Sudden Infant Death Syndrome (SIDS).
Choice D is incorrect as bumper pads pose a suffocation risk for infants.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 5 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: Rationale for choice C: Asking how much protein the client eats in a day assesses the client's overall dietary intake and can provide valuable information about their nutritional status. Protein is an essential macronutrient, and inadequate intake can lead to various health issues. By inquiring about protein consumption, the nurse can evaluate if the client is meeting their nutritional needs.
Rationale for other choices:
A: Asking about the last time the client ate meat is specific and may not give a comprehensive picture of their overall dietary habits.
B: Asking if the client has considered eating shellfish is too specific and does not address their current dietary intake.
D: Inquiring about a Vitamin C supplement is not directly related to assessing the client's overall dietary intake.