ATI RN
ATI RN Custom 2023 Fall Exam 3 Questions
Extract:
In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?
Question 1 of 5
In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?
Correct Answer: B
Rationale: The correct answer is B: Erythromycin ophthalmic ointment. This medication is administered to prevent ophthalmia neonatorum, an eye infection that can occur in newborns due to exposure to maternal gonorrhea or chlamydia during birth. Erythromycin ointment is effective in preventing this infection and reducing the risk of complications such as conjunctivitis or corneal ulceration. Vitamin K (choice
A) is given to prevent bleeding disorders in newborns. Gentamicin ointment (choice
C) is not typically used for prophylaxis in newborns. Silver nitrate solution (choice
D) used to be commonly used for prophylaxis but has been replaced by erythromycin due to concerns about its efficacy and potential side effects.
Extract:
A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
Question 2 of 5
What might you expect to find in the mother's pregnancy history?
Correct Answer: D
Rationale: The correct answer is D: Chronic alcohol use. This is because chronic alcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders. Alcohol crosses the placenta and affects the developing fetus, leading to physical, behavioral, and cognitive abnormalities. Active herpes simplex infection (
A) is not typically included in a mother's pregnancy history unless there are specific concerns. Chronic cocaine use (
B) can also have harmful effects on the fetus, but it is less common than alcohol use. Folic acid deficiency (
C) is an important consideration during pregnancy but is not typically included in the mother's pregnancy history unless it has been identified as a specific issue.
Extract:
A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.
Question 3 of 5
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: D
Rationale: The correct answer is D: At the level of the umbilicus. This is where the uterine fundus is typically located at 20 weeks gestation. The fundus rises approximately 1 cm per week until 36 weeks when it reaches the xiphoid process.
Choices A and B are incorrect because the uterine fundus should not be located to the right of the umbilicus or 2 cm above it at this stage.
Choice C is incorrect as the fundus should be higher than one fingerbreadth above the symphysis pubis by 20 weeks. Thus, the correct position for the uterine fundus at this point in pregnancy is at the level of the umbilicus.
Extract:
A nurse has been assigned to assess a pregnant client for abruptio placenta.
Question 4 of 5
For which classic manifestation of this condition should the nurse assess?
Correct Answer: C
Rationale: The correct answer is C: "Knife-like' abdominal pain with vaginal bleeding." This classic manifestation indicates a possible ectopic pregnancy, a medical emergency. Knife-like abdominal pain suggests internal bleeding, which can be life-threatening. Vaginal bleeding may occur due to the rupture of the fallopian tube. Generalized vasospasm (
A) is not specific to this condition. Painless bright red vaginal bleeding (
B) is more indicative of placenta previa. Increased fetal movement (
D) is not a typical sign of an ectopic pregnancy.
Extract:
A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Question 5 of 5
Which of the following findings confirm to the nurse that the client is in labor?
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation. This finding confirms labor as it indicates the cervix is opening in preparation for childbirth. Brownish vaginal discharge (
A) may not be specific to labor. Amniotic fluid in the vaginal vault (
C) could suggest ruptured membranes but not necessarily active labor. Pain above the umbilicus (
D) is not a typical sign of labor.