ATI RN Maternal Newborn 2023 III

Extract:

A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.

Question 1 of 5

What actions should the nurse take first?

Correct Answer: B

Rationale: Administering oxygen at 10 L/min addresses potential hypoxia from significant blood loss, indicated by saturating pads every 10-15 minutes, as the first priority.

Extract:

A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.

Question 2 of 5

The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mmÂ³

A. A: Improving, B: Worsening, C: Worsening, D: Improving, E: Worsening, F: Unrelated B. A: Unrelated, B: Improving, C: Improving, D: Worsening, E: Unrelated, F: Worsening C. A: Worsening, B: Unrelated, C: Unrelated, D: Improving, E: Improving, F: Improving D. A: Improving, B: Improving, C: Worsening, D: Worsening, E: Worsening, F: Unrelated

Correct Answer: A

Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mmÂ³ unrelated (normal range).

Extract:

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.

Question 3 of 5

What responses should the nurse make?

A. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.' B. You cannot have an amniocentesis until you are at least 35 years of age.' C. We can schedule the procedure for later today if you'd like.' D. This procedure determines if your baby has genetic or congenital disorders.'

Correct Answer: D

Rationale: Amniocentesis diagnoses genetic disorders, not just fetal sex, which can be determined less invasively via ultrasound, making this the appropriate response.

Extract:

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.

Question 4 of 5

What actions should the nurse take?

A. Instruct the client to avoid urinary elimination until after administration. B. Place the client in a semi-Fowler's position for 1 hr after administration. C. Verify that informed consent is obtained prior to administration. D. Allow the medication to reach room temperature prior to administration.

Correct Answer: C

Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.

Extract:

A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs test.

Question 5 of 5

Which of the following statements should the nurse include in the teaching?

A. This test determines if your baby is at risk for developing hypoglycemia after birth B. This test will detect the presence of Rh-positive antibodies in your blood C. This test will determine the amount of amniotic fluid around the fetus D. This test assesses blood flow to the fetus and placenta using ultrasound

Correct Answer: B

Rationale: The indirect Coombs test detects Rh-positive antibodies in maternal blood, assessing Rh incompatibility risk.

ATI RN Maternal Newborn 2023 III | Nurselytic

Nurselytic

ATI RN

ATI RN