ATI RN
ATI RN Maternal Newborn 2023 II 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: B
Rationale: The correct answer is B: Jitteriness. Jitteriness is a common manifestation of hypoglycemia due to the brain not receiving enough glucose for energy. This can lead to shakiness, nervousness, and palpitations. Abdominal distention (choice
A) is not typically associated with hypoglycemia. Petechiae (choice
C) are tiny red or purple spots on the skin due to bleeding, not related to hypoglycemia. Increased muscle tone (choice
D) is not a common sign of hypoglycemia. By monitoring for jitteriness, the nurse can promptly recognize and address hypoglycemia in the patient.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 2 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 3 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 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 providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is correct because diaphragms should be refitted periodically to ensure proper fit and effectiveness.
Choice B is incorrect because diaphragms should be left in place for at least 6 hours after intercourse, not 4.
Choice C is incorrect as oil-based lubricants can degrade the diaphragm material, so water-based lubricants should be used.
Choice D is incorrect because diaphragms should be stored dry, not in sterile water.