ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 1 of 5
The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: Hypotension. Hypotension is a common adverse effect of many medications, especially those that affect blood pressure or circulation. The nurse should monitor for signs such as dizziness, lightheadedness, or low blood pressure readings. Polyuria (
A) is excessive urination, not typically an adverse effect of medications. Bilateral crackles (
C) indicate fluid in the lungs, not a common adverse effect of medications. Hyperglycemia (
D) is high blood sugar, often seen with certain medications like steroids or glucose-lowering drugs.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because it addresses a potentially serious issue that requires immediate attention - dark red discoloration at the tip of the baby's penis could indicate compromised blood flow and potential necrosis. This information is crucial for the parent to be aware of to prevent any complications.
The other choices are incorrect because:
A: Yellow exudate forming at the surgical site in 24 hours is normal post-circumcision and does not warrant immediate notification to the provider.
C: Ensuring a snug diaper fit is important for comfort and preventing leakage, but it is not as critical as identifying signs of compromised blood flow.
D: The Plastibell is typically removed after a few days, not 4 hours after the procedure. Providing this misinformation could cause unnecessary concern for the parent.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 3 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important for assessing the client's overall dietary intake, as protein is a crucial macronutrient for health. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs. Other choices are incorrect as they do not directly relate to assessing dietary intake.
Choice A focuses only on meat consumption, which is limited in scope.
Choice C is specific to Vitamin C, not overall dietary intake.
Choice D is about shellfish, which is too narrow. By asking about protein intake, the nurse can gather valuable information to assess the client's dietary habits comprehensively.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding indicates hyperglycemia, which can be a sign of diabetes or other underlying health issues requiring immediate attention. The nurse should report this to the provider for further evaluation and management to prevent complications.
A: WBC count 11,000/mm3 - Slightly elevated WBC count is common and may not warrant immediate reporting unless there are other concerning symptoms.
C: Hematocrit 37% - Falls within normal range and does not indicate any immediate issues.
D: Creatinine 0.9 mg/dL - Normal creatinine levels suggest healthy kidney function and do not require urgent reporting.
In summary, the nurse should report the high fasting blood glucose level as it signifies a potential health problem that needs prompt attention, while the other choices fall within normal ranges and do not require immediate reporting.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 5 of 5
Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale:
Rationale: The nurse should ask about the improvement in back labor as it directly evaluates the effectiveness of the intervention related to back pain relief. Contractions, pelvic pressure, and suprapubic pain are not directly related to back labor.
Therefore, asking about back labor improvement is the most relevant way to assess the intervention's success.