ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 1 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B because a client with a previous classical incision (vertical uterine incision) is at risk for uterine rupture during a contraction stress test due to the weakened uterine wall. A uterine rupture can lead to severe complications for both the mother and the baby. Clients with previous classical incisions should not undergo contraction stress tests.
Choice A is incorrect because a previous stillbirth is not a contraindication for a contraction stress test.
Choice C is incorrect as gestational diabetes mellitus alone is not a contraindication for the test.
Choice D is also incorrect as a nonreactive nonstress test does not directly contraindicate a contraction stress test.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to turn the client to a side-lying position (
Choice
A) to prevent aspiration in case of vomiting. This position helps maintain airway patency and facilitates drainage.
Choice B is incorrect as it does not address immediate risks.
Choice C is not a priority unless the client is hypoxic.
Choice D is contraindicated in the immediate postpartum period. No further choices provided.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 3 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 delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is option C: Evaluate urinary output. This is crucial post-surgery to assess renal function and fluid status, ensuring proper kidney function and hydration. Monitoring urinary output helps detect early signs of complications like acute kidney injury or fluid imbalance. Applying an ice pack (
A) may be indicated for pain management, but it does not address the immediate concern of renal function. Administering IV fluids (
B) without assessing the need based on urinary output can lead to fluid overload or dehydration. While replacing the surgical dressing (
D) is important for wound care, it is not the priority in this scenario.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with a cool sitz bath. This is the appropriate action because a sitz bath can help in soothing the perineum, reducing swelling, and promoting healing after childbirth. It is a gentle and effective method for postpartum perineal care. Applying povidone-iodine (choice
A) after voiding can be too harsh and may cause irritation. Administering methylergonovine (choice
C) is not indicated for perineal care and can have adverse effects. Applying a warm compress (choice
D) may not be as effective in reducing swelling compared to a cool sitz bath.