ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 1 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Jitteriness. Hypoglycemia is low blood sugar, leading to brain dysfunction. Jitteriness is a common early sign due to the brain's reliance on glucose for energy. Increased muscle tone (
B) and abdominal distention (
C) are not typical manifestations of hypoglycemia. Petechiae (
D) are tiny, flat, red or purple spots on the skin due to bleeding and are not associated with hypoglycemia.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 2 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Rationale:
Choice D is correct because emptying the bladder before the procedure is essential to avoid discomfort and potential complications. Other choices are incorrect as they do not directly relate to the procedure or indicate understanding. A: Irrelevant to the procedure. B: Excessive fasting is unnecessary. C: Positioning is not crucial for understanding. E, F, G: Unknown options.
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: C
Rationale: The correct answer is C. Asking about the amount of protein eaten in a day is important to assess the client's overall dietary intake, as protein is a crucial macronutrient for body function. This question helps the nurse evaluate if the client is meeting their protein needs for optimal health.
A: The question about the last time meat was eaten is specific and limited to one food item, not providing a comprehensive assessment of dietary intake.
B: Inquiring about Vitamin C supplement intake focuses on a single nutrient and does not give a holistic view of the client's overall diet.
D: Asking about shellfish is too specific and may not provide a broad understanding of the client's dietary habits.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 4 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: C
Rationale: The nurse should administer 8 tablets because the question asks for rounding to the nearest whole number. The number of tablets is between 7.5 and 8.5, so rounding to the nearest whole number gives 8.
Choice A (4) is too low, B (6) is also too low, and D (10) is too high.
Therefore, the correct answer is C (8) as it is the closest whole number to the actual value.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 5 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.