ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and has a spontaneous rupture of membranes. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 1 of 5
After calling for help, which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is A: Use fingers to exert upward pressure on the presenting part. This is the first step in managing a prolapsed cord to alleviate pressure on the cord and prevent fetal hypoxia. Immediate action is crucial in this emergency situation. Administering tocolytic medication (
B) is not the priority as it does not address the immediate risk to the fetus. Applying oxygen via facemask (
C) is important but secondary to relieving cord compression. Wrapping the cord in a sterile towel (
D) is not recommended as it can further compress the cord.
Extract:
An adolescent client who requests a prescription for birth control.
Question 2 of 5
Which of the following questions should the nurse ask?
Correct Answer: B
Rationale: The correct answer is B: What do you know about contraception? This question is important as it assesses the individual's knowledge on preventing unwanted pregnancies. It helps the nurse tailor education and interventions to the individual's needs.
Choice A assumes coercion, not all relationships involve pressure for sex.
Choice C is subjective and not directly related to contraception.
Choice D is judgmental and may discourage open communication.
Choices E, F, and G are not provided, therefore not relevant.
Extract:
A client following a vaginal delivery of a term fetal demise.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You can bathe and dress your baby if you'd like to." This statement empowers the parent to make choices regarding caring for their baby, promoting autonomy and bonding. It fosters a sense of control and involvement in the care process.
Choice B is incorrect as it assumes the parent wants another baby, which may not be the case and can be insensitive.
Choice C is incorrect as it implies that not holding the baby will make it harder to let go, which may not be true for everyone and can induce guilt.
Choice D is incorrect as naming the baby is a personal decision and should not be dictated by others.
Extract:
A client about the purpose of her upcoming indirect Coombs' test.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct statement to include in the teaching is B: "This test will detect the presence of Rh-positive antibodies in your blood." This is the correct answer because it pertains to the purpose of the test, which is to identify Rh incompatibility between the mother and fetus. Detecting Rh-positive antibodies is crucial to prevent hemolytic disease of the newborn. The other options are incorrect because A refers to an amniotic fluid index test, C relates to a test for gestational diabetes, and D describes a Doppler ultrasound for evaluating fetal blood flow.
Therefore, B is the most relevant statement for the teaching regarding Rh testing during pregnancy.
Extract:
A newborn.
Question 5 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: B
Rationale: The correct answer is B: IM in the left vastus lateralis. The nurse should choose this route for administration of the medication because the vastus lateralis muscle is a recommended site for intramuscular injections due to its size and low risk of injury to nerves and blood vessels. IM injections in this site allow for the medication to be absorbed into the bloodstream more quickly compared to subcutaneous injections. Subcutaneous injections (choices A and
D) are typically used for medications that require slower absorption. IM in the right deltoid (choice
C) may cause injury to the radial nerve. As for the blank options, since they are not provided, we cannot assess their appropriateness.