ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 1 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 2 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: C
Rationale: The nurse should administer 8 tablets because the question asks for rounding to the nearest whole number. The number of tablets is between 7.5 and 8.5, so rounding to the nearest whole number gives 8.
Choice A (4) is too low, B (6) is also too low, and D (10) is too high.
Therefore, the correct answer is C (8) as it is the closest whole number to the actual value.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 3 of 5
Which statement by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The car seat should be positioned at a 45-degree angle to support the newborn's head and prevent it from falling forward.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 4 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: The correct answer is A: Check the client's serum medication level. By checking the serum medication level, the nurse can directly measure the amount of medication in the client's bloodstream, providing objective evidence of medication adherence. This method is more reliable than asking the client (choice
C) or assessing unrelated parameters like apical pulse rate (choice
B) or kidney function (choice
D). Checking the serum medication level gives a concrete assessment of the client's adherence, helping the nurse make informed decisions about the client's treatment plan.
Extract:
A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 5 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?
Correct Answer: A
Rationale: The correct answer is A: Scheduled induction of labor. In this scenario, the nurse should anticipate the provider discussing this treatment option with the patient because it is a common intervention for various obstetric conditions such as post-term pregnancy, preeclampsia, or fetal compromise. Induction of labor can help prevent complications and promote a safe delivery for both the mother and baby. The other choices are incorrect because: B - Immediate cesarean birth is typically considered in emergency situations and not as a routine treatment option. C - Administration of methotrexate is used for medical management of ectopic pregnancy, not for inducing labor. D - Dilation with suction curettage is a procedure used for managing certain gynecological conditions, not for labor induction.