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 newborn who has jaundice and a new prescription for phototherapy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 3 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: "Ovulation will remain the same." This statement indicates an understanding of the teaching as it acknowledges that the procedure being discussed will not affect the client's ovulation process. This shows that the client comprehends that the treatment will not interfere with their regular reproductive cycle.
Explanation of other choices:
A: Incorrect - Menstrual period length is not directly related to ovulation.
B: Incorrect - Hormone replacements post-procedure do not necessarily indicate understanding of the teaching.
C: Incorrect - Elimination of premenstrual tension does not specifically address ovulation.
In summary, choice D directly reflects the client's understanding of the impact of the procedure on ovulation, making it the correct answer.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 4 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer broad-spectrum antibiotics. This action is appropriate for preventing or treating infection at the site. Povidone-iodine cleansing (
A) may be too harsh for the wound. Surgical closure (
C) should be based on wound assessment, not a fixed time frame. Monitoring rectal temperature (
D) is not directly related to wound care. The nurse should focus on infection prevention and treatment, making administering antibiotics the most appropriate choice.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 5 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.