ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 1 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Check the client's serum medication level. Monitoring the client's serum medication level directly assesses medication adherence by measuring the actual concentration of the drug in the client's bloodstream. This objective measure provides concrete evidence of whether the client is taking the medication as prescribed. Asking the client (choice
A) may not always yield accurate information due to potential bias or forgetfulness. Determining the apical pulse rate (choice
B) is not directly related to medication adherence. Assessing kidney function (choice
D) is important but does not directly evaluate medication adherence.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Cool, clammy skin. This finding indicates poor perfusion and potential hypoperfusion, which are critical conditions requiring immediate medical attention. Cool, clammy skin can be a sign of decreased blood flow and oxygen delivery to tissues. It suggests a possible decrease in cardiac output or circulation. Reporting this finding promptly to the healthcare provider is crucial for timely intervention to prevent further complications.
Choices A and B are within normal ranges for heart rate and blood pressure.
Choice D, moderate lochia serosa, is a normal postpartum finding as long as it is not excessive or accompanied by other concerning symptoms.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is correct because diaphragms should be refitted periodically to ensure proper fit and effectiveness.
Choice B is incorrect because diaphragms should be left in place for at least 6 hours after intercourse, not 4.
Choice C is incorrect as oil-based lubricants can degrade the diaphragm material, so water-based lubricants should be used.
Choice D is incorrect because diaphragms should be stored dry, not in sterile water.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 4 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important as it directly assesses the client's dietary intake related to protein, a crucial component of a balanced diet. By asking about the amount of protein consumed, the nurse can evaluate the client's protein intake and identify any deficiencies or excesses. This information is essential for assessing the client's overall nutritional status.
Choices A, C, and D do not directly assess the client's dietary intake but focus on specific food items or supplements. These questions may provide valuable information but do not address the broader dietary intake.
Therefore, they are incorrect in this context.
Question 5 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important for assessing the client's overall dietary intake, as protein is a crucial macronutrient for health. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs. Other choices are incorrect as they do not directly relate to assessing dietary intake.
Choice A focuses only on meat consumption, which is limited in scope.
Choice C is specific to Vitamin C, not overall dietary intake.
Choice D is about shellfish, which is too narrow. By asking about protein intake, the nurse can gather valuable information to assess the client's dietary habits comprehensively.