ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 1 of 5
Which food selection has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content per cup (15.6 g), surpassing oatmeal (4 g), cabbage (2.2 g), and asparagus (3.7 g), aiding constipation relief.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 2 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 3 of 5
What instructions should the nurse include?
Correct Answer: C
Rationale: Feeding at least every 3 hours ensures adequate nutrition and stimulates milk production, appropriate for breastfeeding discharge teaching.
Extract:
A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 4 of 5
How many tablet(s) should the nurse plan to administer per dose?
Correct Answer: B
Rationale: Calculation: 250 mg ÷ 500 mg/tablet = 0.5 tablet per dose, ensuring the correct dosage is administered.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Administering broad-spectrum antibiotics prevents infection from CSF leakage, a critical step before urgent surgical closure.