ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 1 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele’s Rule, we add 7 days to the first day of the last menstrual period, subtract 3 months, and then add 1 year. For example, if LMP is February 10, the estimated due date would be November 17.
Therefore, choice C (17-May) is the correct estimated date of delivery based on this rule.
Choices A (13-May) and B (20-May) are incorrect as they do not follow Nägele’s Rule calculations.
Choice D (3-May) is also incorrect as it does not account for the necessary calculations.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: A
Rationale: The correct answer is A: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and typically manifests with flank pain due to inflammation of the kidney tissue. This pain is often described as sharp and constant. Temperature elevation (choice
B) is a common symptom but not specific to pyelonephritis. Abdominal cramping (choice
C) is more commonly associated with gastrointestinal issues. Epigastric discomfort (choice
D) is usually linked to upper gastrointestinal problems. Flank pain is the most specific and characteristic finding of pyelonephritis, as it indicates involvement of the kidneys.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 3 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 newborn whose mother had gestational diabetes mellitus.
Question 4 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 reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 5 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Check the client's serum medication level. This action is the most direct and objective method to evaluate medication adherence. By measuring the actual concentration of the medication in the client's blood, the nurse can determine if the prescribed medication is being taken as directed. This method provides concrete evidence of adherence compared to just asking the client (
A), which may not always be reliable. Determining the apical pulse rate (
B) and assessing kidney function (
D) are important aspects of client care but are not directly related to evaluating medication adherence.