ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 1 of 5
Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D, E
Rationale: The correct order is A, B, C, D, E. Firstly, instructing the client to empty their bladder ensures a clearer assessment. Positioning the client supine with knees flexed and a rolled towel under the hip promotes comfort and relaxation. Palpating the fetal part in the fundus helps determine the presenting part. Palpating the fetal parts along both sides of the uterus allows for identification of the position and engagement. Lastly, palpating the fetal part above the symphysis pubis helps ascertain the descent and engagement of the presenting part. The other choices are incorrect as they do not follow a logical sequence for a comprehensive fetal assessment.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Check identification badges of staff who enter your room. This instruction is important for maintaining the safety and security of both the mother and newborn. By verifying the identification badges of staff, the mother can ensure that only authorized personnel are entering the room, reducing the risk of unauthorized individuals gaining access. This step helps in preventing any potential harm or security breaches.
Other choices are incorrect:
A: Removing the monitoring band for bathing can compromise the monitoring of the newborn's vital signs.
B: Limiting visitors to immediate family is a good practice but not as crucial for safety and security.
D: Sending the newborn to the nursery while sleeping may not be necessary and can disrupt bonding and breastfeeding.
In summary, option C is the most essential for ensuring the safety and security of the mother and newborn compared to the other choices.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 4 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.
Extract:
A nurse is caring for a patient who is at 20 weeks of gestation and has trichomoniasis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Malodorous discharge. This finding suggests a possible infection, such as bacterial vaginosis or trichomoniasis. Malodor indicates an imbalance in vaginal flora, requiring further assessment and treatment. Thick, white discharge (
A) is characteristic of a yeast infection. Vulva lesions (
B) may indicate a sexually transmitted infection or dermatological issue. Urinary frequency (
D) could indicate a urinary tract infection but is not specific to vaginal health.
Choices E, F, G are not provided, but without additional information, they are irrelevant to the question.