ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Restrict daily oral fluid intake. This is the appropriate action for a patient with fluid overload, as it helps manage fluid balance. Restricting fluid intake can prevent further fluid accumulation and complications. Administering an IV bolus of lactated Ringer's (
B) would worsen fluid overload. Assessing blood pressure twice daily (
C) is important but not the priority in managing fluid overload. Obtaining a prescription for misoprostol (
D) is unrelated to managing fluid overload.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with photos of the fetus. This action promotes bonding and helps the client cope with the loss by creating lasting memories. It allows the client to visually connect with the fetus and aids in the grieving process. Providing photos can offer comfort and closure.
Incorrect
Choices:
B: Informing the client that the law requires them to name the fetus is incorrect because there is no such legal requirement.
C: Limiting the amount of time the fetus is in the client's room may not be necessary and could hinder the client's grieving process.
D: Instructing the client that an autopsy should be performed within 24 hours is incorrect as it may not be the best timing for the client emotionally and may not be necessary in all cases.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 3 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can have a significant impact on overall health and can help manage various health conditions, including improving symptoms related to certain diseases. Obesity can exacerbate health issues, so suggesting weight management is crucial. Hot baths (
A) may provide temporary relief but do not address the root cause. Using a lubricant during intercourse (
B) may help with comfort but does not address nonpharmacological treatment. Drinking herbal tea (
D) may have some benefits but is not a primary treatment for most conditions.
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 appropriate for individuals experiencing nausea because cold foods are less likely to trigger nausea compared to hot or warm foods. Cold foods can help soothe the stomach and reduce feelings of nausea. Brushing teeth after each meal (choice
B) is not relevant to addressing nausea. Drinking plenty of water when feeling nauseated (choice
C) can sometimes exacerbate nausea. Eating three large meals per day (choice
D) can overload the digestive system and worsen nausea. It's important to choose light, easily digestible foods at cooler temperatures when experiencing nausea.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 5 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: A
Rationale: The correct answer is A: Facial palsy. Facial palsy can occur as a complication of birth trauma, particularly during a difficult delivery such as forceps or vacuum extraction. This can lead to injury of the facial nerve, resulting in weakness or paralysis of the facial muscles. Polycythemia (
B) is an increased number of red blood cells, not typically associated with birth method. Bronchopulmonary dysplasia (
C) is a lung condition primarily seen in premature infants requiring prolonged mechanical ventilation. Hypoglycemia (
D) is low blood sugar levels and can be caused by various factors unrelated to birth method.