ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol.
Exhibit 2: Medical History
Preeclampsia
Cesarean birth of viable twin male newborns
Question 1 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Findings 30 min later | Unrelated to diagnosis | Indication Of potential improvement | Indication of Potential worsening condition |
|---|---|---|---|
| Fundus at level of umbilicus | |||
| Cloudy urine | |||
| Blood pressure 80/50 mm Hg | |||
| Moderate lochia rubra | |||
| Thready pulse | |||
| Fundus firm to palpation |
Correct Answer:
Rationale: - A, D, E are correct, B, C are incorrect)
Rationale: A - Fundus at level of umbilicus indicates proper uterine involution. D - Moderate lochia rubra is expected postpartum. E - Thready pulse may indicate hypovolemia, requiring intervention. B - Cloudy urine may indicate infection, not improvement. C - Low blood pressure may indicate hypovolemic shock, a worsening condition.
Extract:
Question 2 of 5
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. This is because the client's significant cervical dilation and effacement indicate that she is in active labor, not at risk for an ectopic pregnancy, hyperemesis gravidarum, or incompetent cervix. Postpartum hemorrhage can occur due to the rapid labor progression, leading to increased risk of excessive bleeding post-delivery. Other choices are incorrect as they do not align with the client's current presentation and stage of labor.
Question 3 of 5
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
Correct Answer: A
Rationale:
To calculate the number of tablets needed, divide the total dose by the strength of each tablet: 2g / 250mg = 8 tablets. The correct answer is A (8 tablets). Option B (4 tablets) is incorrect as it does not provide the correct dosage. Option C (2 tablets) is incorrect as it also does not provide the correct dosage. Option D (1 tablet) is incorrect as it would be an underdose.
Question 4 of 5
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Turn the client to a side-lying position. This action helps improve venous return and cardiac output, which can help increase blood pressure in a hypotensive client. Placing the client in a side-lying position can prevent compression of the vena cava by the uterus, which may occur with epidural anesthesia. Options B, C, and D are incorrect. Applying oxygen via nasal cannula, massaging the fundus, and assisting the client to empty their bladder are not the priority actions in addressing hypotension following epidural anesthesia. Oxygen administration may be important, but positioning the client is the priority in this situation.
Question 5 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is important for fertility as being underweight or overweight can affect hormone levels and ovulation. A healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B, herbal tea, lacks scientific evidence for enhancing fertility.
Choice D, hot baths, can increase testicular temperature and affect sperm production.