ATI RN
ATI RN Maternal Newborn 2023 Exam 4 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, the estimated date of delivery is calculated by adding 7 days to the first day of the last menstrual period and then counting forward 3 months. For choice C (17-May), adding 7 days to the first day of the last menstrual period gives 10-May. Counting forward 3 months from this date lands on 10-May, which makes 17-May the estimated date of delivery.
Choice A (13-May) is incorrect as it does not follow the calculation correctly.
Choice B (20-May) is incorrect as it does not align with the calculation based on Nägele's Rule.
Choice D (2-May) is incorrect as it is an earlier date than the calculated estimated date of delivery.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B, to close the newborn's eyes before applying eyepatches. This is because closing the newborn's eyes before applying eyepatches helps to protect the eyes from irritation and ensures proper placement of the patches. Option A is incorrect as glucose water is not recommended for newborns after each feeding. Option C is incorrect as hydrating lotion may interfere with treatment or create a barrier for proper adhesion of medical devices. Option D is incorrect as turning the newborn every hour is not necessary and may disrupt their rest and sleep cycles.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 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 4 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 5 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.