ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a newborn immediately following birth.
Question 1 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 2 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client's serum medication level. This is the best action to evaluate medication adherence because it directly measures the concentration of the medication in the client's bloodstream. If the medication level is within the therapeutic range, it indicates that the client is taking the medication as prescribed. If the level is too low or too high, it suggests non-adherence or potential issues with medication absorption or metabolism.
Choice A is incorrect as determining the client's apical pulse rate does not directly assess medication adherence.
Choice B is less reliable as clients may not always provide accurate information about their medication adherence.
Choice C is unrelated to evaluating medication adherence.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. It suggests an overgrowth of harmful bacteria or yeast. Thick, white vaginal discharge (choice
A) is characteristic of a yeast infection. Vulva lesions (choice
B) may indicate an STD or skin condition. Urinary frequency (choice
C) is not typically associated with vaginal infections. In summary, malodorous discharge is the most concerning finding, as it signifies a possible infection, while the other choices are less specific or unrelated.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 4 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 5 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it shows an understanding of the teaching about the procedure not affecting ovulation. A: Incorrect, as the length of the menstrual period was not discussed. B: Incorrect, as premenstrual tension was not mentioned to change. C: Incorrect, as hormone replacements were not mentioned.