ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Exhibit 3 - Vital Signs
Time Vital Signs
0930 Temperature 37°C (98.6°F)
Pulse rate 78/min
Respiratory rate 12/min
Blood pressure 124/80 mm Hg
Pulse oximetry 100%
Question 1 of 5
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
Correct Answer:
Rationale:
Correct Answer: C: Get adequate rest and sleep
Rationale:
1. Adequate rest and sleep are crucial for mental health and emotional well-being, helping to regulate mood and prevent depressive symptoms.
2. Sleep deprivation can exacerbate postpartum depression symptoms, so ensuring the client gets enough rest is essential.
3. Rest and sleep contribute to hormone regulation and overall energy levels, supporting the client's ability to cope with the challenges of new motherhood.
Summary:
A: Engaging in physical activity is beneficial but not directly linked to preventing postpartum depression.
B: Having a strong support system is important, but alone may not be sufficient to prevent postpartum depression.
D: Eating a well-balanced diet is important for overall health but may not directly prevent postpartum depression.
Extract:
Question 2 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Anticipate a prescription for misoprostol.
Rationale: Misoprostol is a prostaglandin E1 analog that helps to contract the uterus and control bleeding in cases of uterine atony postpartum. Administering misoprostol can help to improve uterine tone and reduce excessive bleeding.
Incorrect
Choices:
A: Administering betamethasone is used to promote fetal lung maturity in preterm labor, not for managing postpartum hemorrhage.
B: Sterile vaginal examinations should be performed to assess the cause of bleeding, avoiding them can delay appropriate interventions.
D: Obtaining a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage, but it is not a priority action in managing uterine atony and bleeding.
Question 3 of 5
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite. Symptoms include a foul-smelling, yellow-green vaginal discharge. At 20 weeks of gestation, hormonal changes can increase vaginal discharge, but the malodorous aspect is specific to trichomoniasis.
Choice A is incorrect because trichomoniasis typically presents with a thin, frothy discharge, not thick and white.
Choice B, urinary frequency, is not a common symptom of trichomoniasis.
Choice C, vulva lesions, is more indicative of other STIs like herpes or syphilis.
Question 4 of 5
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is because the lateral side of the finger has fewer nerve endings, making it less painful for the client. Puncturing this area also minimizes the risk of nerve damage and ensures a more accurate blood sample. Smearing blood onto a reagent strip (choice
B) can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
A) can dilute the blood sample. Holding the finger above the heart prior to puncture (choice
C) can affect the blood flow and lead to inaccurate results.
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.