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:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 2 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 3 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 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 is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 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.