ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 1 of 5
Which finding should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: D
Rationale: The correct answer is D: Flank pain. Pyelonephritis is an infection of the kidneys which often presents with flank pain, typically on one side. This pain is a key manifestation due to inflammation and swelling of the kidney tissue. Epigastric discomfort (
A) and abdominal cramping (
B) are not typical symptoms of pyelonephritis. Temperature of 37.2°C (99.8°F) (
C) may indicate a low-grade fever, which can be present in infections but is not specific to pyelonephritis.
Therefore, the most specific and characteristic manifestation of pyelonephritis is flank pain (
D).
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 2 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is important for individuals experiencing nausea, as warm or hot foods can exacerbate nausea. Cool foods are generally better tolerated and can help soothe the stomach. Brushing teeth after each meal (
B) is important for oral hygiene but not directly related to managing nausea. Eating three large meals per day (
C) may overload the stomach and worsen nausea; smaller, more frequent meals are recommended. Drinking plenty of water when feeling nauseated (
D) can be beneficial, but consuming cool foods is more directly relevant to managing nausea.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because it is crucial to have the diaphragm refitted by the provider periodically to ensure proper fit and effectiveness. This is important because changes in weight, childbirth, or pelvic surgery can affect the fit of the diaphragm.
Choice A is incorrect because storing the diaphragm in sterile water after each use is not necessary and may lead to contamination.
Choice B is incorrect as oil-based vaginal lubricants can degrade latex diaphragms, reducing their effectiveness.
Choice C is incorrect because the diaphragm should be kept in place for at least 6-8 hours after intercourse, not just 4 hours.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 4 of 5
How should the nurse interpret the findings 24 hr later?
Correct Answer: A
Rationale: The correct answer is A: Decreased extremity edema. This indicates improved circulation and reduced fluid retention, a positive response to treatment. Redness (
B) may indicate infection, leukocytosis (
C) suggests inflammation or infection, and tachycardia (
D) could be a sign of distress. Monitoring for improvement in edema is crucial in assessing the effectiveness of treatment.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Washing a baby's face with plain water is a safe and effective way to keep it clean without causing irritation.