ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 1 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to turn the client to a side-lying position (
Choice
C). This is crucial for preventing aspiration in unconscious or postoperative clients. Side-lying position helps maintain airway patency and prevents the tongue from obstructing the airway. It also promotes optimal lung expansion and ventilation. Applying oxygen (
Choice
A) may be necessary but does not address the immediate risk of aspiration. Massaging the fundus (
Choice
B) is typically done postpartum to prevent hemorrhage. Assisting the client to empty their bladder (
Choice
D) is important for comfort but does not address the immediate risk of airway compromise.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 2 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to choose option A, which is to document the guardian's refusal of the medication. This is important for legal and ethical reasons as it ensures that the refusal is properly recorded in the patient's medical records. By documenting the refusal, the nurse is fulfilling their duty to maintain accurate and comprehensive documentation. It also allows for continuity of care and communication among healthcare providers. Options B, C, and D are incorrect as they do not address the immediate need to document the refusal. Informing the guardian about giving the medication after discharge does not address the current refusal, reporting to social services may not be necessary at this stage, and involving the ethics committee is premature without proper documentation.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 3 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: The correct answer is D: Ibuprofen. Ibuprofen is preferred for mild to moderate pain due to its analgesic and anti-inflammatory properties. It is commonly used for various conditions like headaches, menstrual cramps, and musculoskeletal pain. Aspirin (
A) has similar effects but is not recommended for pain in children due to the risk of Reye's syndrome. Meperidine (
B) is a narcotic analgesic with more side effects and limited use. Fentanyl citrate (
C) is a potent opioid mainly used for severe pain. In this scenario, ibuprofen is the safest and most appropriate choice for mild to moderate pain.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action is A: Administer 500 mL lactated Ringer's IV bolus. This choice is correct because the patient may be experiencing hypovolemia post-surgery, requiring fluid resuscitation to maintain hemodynamic stability. Evaluating urinary output (
B) is important but may not address the immediate need for fluid resuscitation. Applying an ice pack (
C) may be indicated for pain management but does not address potential hypovolemia. Replacing the surgical dressing (
D) is important for wound care but does not address the patient's fluid volume deficit.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Offer your baby a pacifier during naps if desired. This statement is correct because offering a pacifier during naps can help reduce the risk of sudden infant death syndrome (SIDS). Pacifiers have been shown to soothe babies and facilitate better sleep, which can be beneficial for both the baby and the parents.
Incorrect statements:
A: Apply triple antibiotic ointment on your baby's umbilical cord twice daily - This is incorrect because applying ointment on the umbilical cord can actually increase the risk of infection.
B: Give your baby an immersion bath daily - This is incorrect because newborns do not need daily immersion baths, as it can dry out their skin.
C: Swaddle your baby with their legs in an extended position - This is incorrect because swaddling with legs extended can increase the risk of hip dysplasia.