ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Restrict daily oral fluid intake. In a scenario where fluid restriction is necessary, the nurse should plan to limit the patient's oral fluid intake to help manage a specific condition such as heart failure or kidney disease. This action helps prevent fluid overload, which can lead to complications like edema and worsening of the patient's condition. Assessing blood pressure (
B) is important but not the most relevant action in this context. Administering an IV bolus of lactated Ringer's (
A) is not appropriate without a specific indication. Obtaining a prescription for misoprostol (
D) is not relevant to fluid management.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Offer your baby a pacifier during naps if desired. This statement is correct because offering a pacifier during naps can help reduce the risk of sudden infant death syndrome (SIDS). Pacifiers have been shown to soothe babies and facilitate better sleep, which can be beneficial for both the baby and the parents.
Incorrect statements:
A: Apply triple antibiotic ointment on your baby's umbilical cord twice daily - This is incorrect because applying ointment on the umbilical cord can actually increase the risk of infection.
B: Give your baby an immersion bath daily - This is incorrect because newborns do not need daily immersion baths, as it can dry out their skin.
C: Swaddle your baby with their legs in an extended position - This is incorrect because swaddling with legs extended can increase the risk of hip dysplasia.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.
Question 3 of 5
How should the nurse interpret the findings?
Correct Answer: B
Rationale: A BUN level of 40 mg/dL is higher than normal (7-20 mg/dL), indicating potential kidney dysfunction.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with a cool sitz bath. This action helps reduce perineal swelling and discomfort postpartum. Cooling the area constricts blood vessels, decreases inflammation, and provides relief.
Choice B is incorrect as methylergonovine is used to prevent or treat postpartum hemorrhage, not for perineal care.
Choice C is incorrect because warm compresses can increase swelling and discomfort.
Choice D is incorrect as povidone-iodine can be too harsh and delay healing.
Extract:
A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa.
Question 5 of 5
Which of the following assessment findings requires immediate follow-up?
Correct Answer: A
Rationale: The correct answer is A: Vaginal bleeding. This finding requires immediate follow-up as it could indicate a serious issue such as placental abruption, ectopic pregnancy, or preterm labor. Prompt assessment and intervention are crucial to ensure maternal and fetal well-being.
Choices B, C, and D are within normal ranges and do not require immediate follow-up.
Choice B (fetal heart rate of 174 bpm) is within the normal range for a fetus.
Choice C (fundal height of 33 cm) is appropriate for gestational age.
Choice D (abdomen soft on palpation and without tenderness) indicates normal findings.