ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who has preeclampsia.
Question 1 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: Pad the side rails of the client's bed. This is the priority because it helps prevent injury during a seizure by providing a soft surface if the client hits the rails. Dimming the lights (
A) and ensuring the call button is within reach (
B) are important but not the priority. Suction equipment (
D) is important for respiratory support post-seizure but not the priority during seizure precautions.
Extract:
A client who plans to use hypnosis to control labor pain.
Question 2 of 5
Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A. Hypnosis can be beneficial if practiced during the prenatal period because it can help reduce anxiety, fear, and pain during labor. By starting hypnosis practice before labor, the individual can develop effective techniques and coping strategies. Option B is incorrect as hypnosis has shown to be effective for pain management in labor. Option C is incorrect as synchronized breathing is not always required during hypnosis. Option D is incorrect as hypnosis focuses more on relaxation and mental focus rather than controlling body functions.
Extract:
A client and their newborn.
Question 3 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: The correct answer is D because during the taking-in phase of maternal role attainment, the client tends to review their birth experience with others as they seek validation and support. This phase is characterized by a passive and dependent behavior, where the client is reflecting on their experience and may express a need for validation and reassurance.
Choices A, B, and C are incorrect as they do not align with the characteristics of the taking-in phase. The client desiring privacy, taking charge of all tasks, or putting personal needs aside are more indicative of the taking-hold phase or the let-go phase.
Extract:
A client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 4 of 5
Which of the following clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: The client's fundus is firm and midline. This is the expected therapeutic effect after childbirth as the uterus contracts to reduce bleeding and return to its normal size. A firm and midline fundus indicates proper uterine contraction and involution.
Choice A is incorrect as vaginal fullness is not a typical therapeutic effect of medication.
Choice C suggests excessive bleeding, which is not a desired outcome.
Choice D is irrelevant to postpartum care.
Extract:
A client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 5 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 tablets per dose. This is because when rounding to the nearest tenth, 0.5 falls midway between 0 and 1. In this case, 0.5 is closer to 0 than to 1, so we round down to 0.5. The other choices are incorrect as follows: A: 0 -
Too low, as 0.5 is closer to 1 than to 0. B-G: Any whole number or fraction greater than 0.5 is incorrect because rounding 0.5 down to the nearest tenth results in 0.5 tablets per dose.