ATI RN Maternal Newborn 2023 III

Extract:

A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12.

Question 1 of 5

Which foods should the nurse recommend?

Correct Answer: C

Rationale: Fortified soy milk is a reliable vitamin B12 source for vegans, unlike plant foods like carrots, citrus fruits, or brown rice which lack it naturally.

Extract:

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.

Question 2 of 5

Which of the following findings should indicate to the nurse the need for further diagnostic testing?

A. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client B. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period C. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period D. Three fetal movements perceived by the client in a 20-min testing period

Correct Answer: A

Rationale: Irregular contractions not felt by the client may suggest preterm labor, warranting further testing, unlike reactive NST findings which are normal.

Extract:

A nurse on the postpartum unit is caring for four patients.

Question 3 of 5

For which of the following patients should the nurse notify the provider?

A. Patient who has a urinary output of 300 ml in 8 hours B. Patient who reports lochia rubra requiring changing perineal pads every 3 hours C. Patient who is receiving magnesium sulfate and has absent deep tendon reflexes D. Patient who reports abdominal cramping during breastfeeding

Correct Answer: C

Rationale: Absent deep tendon reflexes in a patient on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification.

Extract:

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.

Question 4 of 5

What clinical findings should the nurse expect?

A. Facial petechiae B. Periauricular papillomas C. Erythema toxicum D. Telangiectatic nevi

Correct Answer: A

Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.

Extract:

A nurse in a clinic is caring for an adolescent patient who requests a prescription for birth control.

Question 5 of 5

Which of the following questions should the nurse ask?

A. Why are you requesting a prescription for birth control? B. What do you know about contraception? C. Are you sure your partner loves you? D. Is your partner pressuring you to have sex?

Correct Answer: B

Rationale: Asking what the adolescent knows about contraception ensures informed decision-making and guides tailored education.