ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 1 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: The correct answer is D: Contact. Contact isolation precautions are used to prevent the spread of infections that are transmitted by direct or indirect contact. This includes wearing gloves, gowns, and practicing proper hand hygiene. For this client, contact precautions are necessary to prevent transmission of infectious agents through direct physical contact or contact with contaminated surfaces. Droplet precautions (
A) are used for infections spread through respiratory droplets, airborne precautions (
B) are for infections transmitted through tiny particles in the air, and protective environment (
C) is used to protect immunocompromised patients from outside pathogens. In this case, contact precautions are the most appropriate to prevent the spread of infection.
Extract:
A client who has preeclampsia.
Question 2 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: Pad the side rails of the client's bed. This is the priority because it helps prevent injury during a seizure by providing a soft surface if the client hits the rails. Dimming the lights (
A) and ensuring the call button is within reach (
B) are important but not the priority. Suction equipment (
D) is important for respiratory support post-seizure but not the priority during seizure precautions.
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.
Extract:
A client who has chosen a diaphragm for birth control.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Insert the diaphragm up to 6 hr before intercourse. This instruction is correct because diaphragms should be inserted at least 6 hours before intercourse to allow time for it to be effective in preventing pregnancy. Removing it too soon after intercourse (choice
A) would not provide adequate protection. Washing the diaphragm with detergent soap (choice
C) can damage the diaphragm and increase the risk of infection. Applying a vaginal lubricant (choice
D) may interfere with the diaphragm's effectiveness and should be avoided.
Extract:
A client who is at 32 weeks of gestation and has placenta previa exhibiting a large amount of vaginal bleeding.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to obtain serial hemoglobin and hematocrit levels. This is important for monitoring the patient's blood loss and hemodynamic status after childbirth. Serial monitoring helps in early detection of postpartum hemorrhage and guides appropriate interventions. Giving oxytocin 20 units IV bolus (choice
A) is contraindicated as it can cause severe adverse effects like hypotension and cardiac arrhythmias. Performing a fundal massage (choice
B) is a potential intervention for uterine atony but assessing for abdominal tenderness (choice
C) would be more appropriate to identify possible causes of pain.
Therefore, obtaining serial hemoglobin and hematocrit levels is the most appropriate action to assess and manage postpartum hemorrhage effectively.