ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client is multigravida and multipara with no history of GBS.
Question 1 of 5
She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because testing for Group B Streptococcus (GBS) is typically done closer to the time of delivery to determine the current status of GBS colonization, which can change throughout pregnancy. Testing earlier may not accurately reflect the GBS status at delivery.
Choice A is incorrect as the presence of symptoms is not always indicative of GBS colonization.
Choice B is incorrect as GBS status can change between pregnancies.
Choice C is incorrect because previous prenatal testing does not guarantee GBS status at delivery.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. Malodor suggests an overgrowth of harmful bacteria or other pathogens in the vaginal flora. Vulva lesions (
A) may indicate a different issue like herpes or genital warts. Urinary frequency (
C) is more common in conditions like urinary tract infections. Thick, white vaginal discharge (
D) is typical of a yeast infection, not necessarily malodorous. In summary, malodorous discharge is the most concerning finding as it suggests an active infection requiring prompt evaluation and treatment.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with photos of the fetus. This action promotes bonding and helps the client cope with the loss by creating lasting memories. It allows the client to visually connect with the fetus and aids in the grieving process. Providing photos can offer comfort and closure.
Incorrect
Choices:
B: Informing the client that the law requires them to name the fetus is incorrect because there is no such legal requirement.
C: Limiting the amount of time the fetus is in the client's room may not be necessary and could hinder the client's grieving process.
D: Instructing the client that an autopsy should be performed within 24 hours is incorrect as it may not be the best timing for the client emotionally and may not be necessary in all cases.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 4 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Contact precautions. Contact precautions are necessary when a patient has an infection that spreads through direct or indirect contact. This includes wearing gloves, gowns, and proper hand hygiene. Droplet precautions (choice
A) are for infections spread through respiratory droplets, airborne precautions (choice
C) are for infections spread through airborne particles, and protective environment (choice
B) is for patients with compromised immune systems. The other choices are not relevant to the scenario described.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 5 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: B
Rationale: The correct answer is B:
To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for crucial bonding time between the newborn and parent, promoting emotional connection and attachment. This early bonding is essential for the newborn's overall well-being and development.
Choice A is incorrect because the newborn's weight does not impact the timing of antibiotic ointment instillation.
Choice C is incorrect as delaying the ointment does not help in identifying infection manifestations.
Choice D is incorrect as the mode of delivery does not affect the timing of antibiotic ointment instillation.