ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 1 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: Hematuria and Proteinuria 2+ are relevant findings indicating potential worsening conditions. Hematuria suggests possible kidney injury, while Proteinuria 2+ can indicate renal dysfunction. Leukorrhea and Positive clonus are unrelated to the diagnosis and do not provide information on the client's condition 24 hr later. BUN and platelet count are not provided in the table, so they cannot be considered for interpretation at this time.
Extract:
Question 2 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess the well-being of the fetus during pregnancy. Oligohydramnios, which is a low level of amniotic fluid, can indicate poor fetal perfusion and compromise, necessitating closer monitoring. Hyperemesis gravidarum (
B) is severe morning sickness and does not directly affect fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy and does not require fetal monitoring. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 3 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because staff wearing photo identification badges ensures proper identification and security for the newborn. This measure helps prevent unauthorized individuals from accessing the baby.
Choice A is incorrect as it compromises the safety of the newborn by potentially exposing them to unnecessary risks during transport.
Choice B is irrelevant to the security and safety of the newborn.
Choice C is incorrect as it goes against safe sleep practices that recommend infants sleep in a separate crib to reduce the risk of Sudden Infant Death Syndrome (SIDS).
Question 4 of 5
A nurse is teaching about home safety with a client who is 2 days postpartum. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Wash your baby's face with plain water. This instruction is important for newborn care as it helps prevent skin irritation and infection. Washing with plain water is gentle and safe for the baby's delicate skin. Other choices are incorrect: A is incorrect because bathing immediately after a feeding can lead to discomfort and potential regurgitation. B is incorrect as bumper pads pose a suffocation hazard for infants. C is incorrect as a soft mattress increases the risk of sudden infant death syndrome.
Question 5 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. The nurse should assess the newborn's latch to ensure proper attachment to the breast, which can alleviate sore nipples. This step is crucial in addressing the root cause of the issue. Waiting 4 hours between feedings (
A) can lead to engorgement and affect milk supply. Limiting breastfeeding time to 5 minutes (
C) may not be sufficient for adequate feeding. Offering supplemental formula (
D) can interfere with establishing breastfeeding and may not address the underlying latch issue.