ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This action is important in preventing infection post-surgery. Antibiotics help to target a wide range of potential pathogens that could cause infection, reducing the risk of complications. Monitoring the rectal temperature every 4 hours (
B) may be necessary but does not directly address infection prevention. Cleaning the site with povidone-iodine (
A) is important for cleanliness but does not prevent infection as effectively as antibiotics. Preparing for surgical closure after 72 hours (
C) is a timing issue and does not directly impact infection prevention.
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 caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 3 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 caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 4 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 in the emergency department is caring for a 19-year-old patient who is at 18 weeks of gestation. The patient presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. The patient states that they have been unable to retain even clear fluids for the past 48 hours. The patient reports no pain. The patient reports a history of migraines and asthma.
Question 5 of 5
What condition is the patient most likely experiencing?
Correct Answer: B
Rationale: The patient is most likely experiencing Hyperemesis Gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration.