ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 1 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the birth canal and promoting descent. Pressing on the suprapubic area (
B) could be painful for the client and is not a recommended technique. Applying pressure to the fundus (
C) can cause uterine contractions and should be avoided during labor. Moving the client onto their hands and knees (
D) may not be suitable for all situations and could potentially hinder the progress of labor.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 3 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.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 4 of 5
Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The correct answer is C: Check identification badges of staff who enter your room. This instruction is important for maintaining the safety and security of both the mother and newborn. By verifying the identification badges of staff, the mother can ensure that only authorized personnel are entering the room, reducing the risk of unauthorized individuals gaining access. This step helps in preventing any potential harm or security breaches.
Other choices are incorrect:
A: Removing the monitoring band for bathing can compromise the monitoring of the newborn's vital signs.
B: Limiting visitors to immediate family is a good practice but not as crucial for safety and security.
D: Sending the newborn to the nursery while sleeping may not be necessary and can disrupt bonding and breastfeeding.
In summary, option C is the most essential for ensuring the safety and security of the mother and newborn compared to the other choices.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 5 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.