ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. Medical History: Gravida 2 Para 1 Preeclampsia.
Question 1 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: C
Rationale: The correct answer is C: Positive clonus. Clonus is a rhythmic, involuntary muscle contraction and relaxation seen in neurological conditions. A positive clonus indicates abnormal reflex activity, which could signify a neurological issue, potentially related to the client's condition. Platelet count (
A), Hematuria (
B), Proteinuria 2+ (
D), Leukorrhea (E), and BUN 40 mg/dL (F) are not typically related to neurological assessments and do not provide information on neurological status.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 2 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Close the newborn's eyes before applying eyepatches. This is important to prevent any irritation or discomfort to the newborn when applying eyepatches. Closing the eyes ensures that the patches adhere properly and do not cause any harm. Providing glucose water (
A) is unnecessary and not recommended for newborns. Turning the newborn every 4 hours (
B) is a good practice for preventing pressure ulcers in older patients, not typically needed for newborns. Applying hydrating lotion (
D) prior to treatment may interfere with the effectiveness of the treatment and is not a recommended practice for newborn care.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen (
Choice
A) to facilitate the delivery of the shoulders during a shoulder dystocia. This maneuver helps to create more space in the birth canal for the baby's shoulder to pass through. Applying pressure to the fundus (
Choice
B) could potentially cause harm to the baby. Pressing firmly on the suprapubic area (
Choice
C) is not an appropriate action during shoulder dystocia. Moving the client onto their hands and knees (
Choice
D) could worsen the situation by altering the position of the baby. It is crucial to choose the action that is evidence-based and designed to resolve the specific issue at hand effectively.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool clammy skin. This finding may indicate poor perfusion or shock, which could be concerning postpartum. The nurse should report this to the provider promptly for further evaluation and intervention.
A: BP 120/70 mm Hg is within normal range for postpartum, so it does not require immediate reporting.
C: Moderate lochia serosa is expected in the early postpartum period, so it is not a concerning finding that requires immediate reporting.
D: Heart rate of 89/min is slightly elevated but not critically high, so it does not necessitate immediate reporting.
In summary, the other choices are not as urgent or abnormal as cool clammy skin, which may indicate a more serious issue requiring prompt attention.