ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the medication and has given their permission. It upholds the principle of autonomy and protects the client's right to make informed decisions about their healthcare. Placing the client in a semi-Fowler's position (
A) or allowing medication to reach room temperature (
B) are not directly related to ensuring informed consent. Instructing the client to avoid urinary elimination (
C) is unnecessary and could be harmful.
Extract:
A full-term newborn upon admission to the nursery.
Question 2 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down syndrome and requires further evaluation. B: Rust-stained urine could indicate hematuria, but it does not require immediate provider notification. C: Transient circumoral cyanosis is common in infants and usually resolves on its own. D: Subconjunctival hemorrhage is usually benign and does not typically necessitate immediate provider notification.
Extract:
A client who is 6 hr postpartum and has endometritis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Uterine tenderness. This finding is indicative of a possible infection or retained products of conception postpartum. Uterine tenderness may suggest endometritis, which requires prompt assessment and treatment. The other choices are incorrect because: A: WBC count within normal range. C: Scant lochia can be normal in the early postpartum period. D: Mild temperature elevation is common postpartum due to hormonal changes.
Extract:
A client and their newborn.
Question 4 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: The correct answer is D because during the taking-in phase of maternal role attainment, the client tends to review their birth experience with others as they seek validation and support. This phase is characterized by a passive and dependent behavior, where the client is reflecting on their experience and may express a need for validation and reassurance.
Choices A, B, and C are incorrect as they do not align with the characteristics of the taking-in phase. The client desiring privacy, taking charge of all tasks, or putting personal needs aside are more indicative of the taking-hold phase or the let-go phase.
Extract:
A client who is at 35 weeks of gestation.
Question 5 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: C
Rationale: The correct answer is C. The reason further testing is needed when there are three fetal movements perceived by the client in a 20-minute period is that fetal movement assessment is crucial for assessing fetal well-being. A decrease or absence of fetal movements can indicate fetal distress, prompting the need for further evaluation to ensure the well-being of the fetus. In contrast, options A, B, and D describe normal or reassuring findings within the parameters of fetal heart rate monitoring and contractions, indicating fetal well-being. Option A shows a reassuring acceleration in fetal heart rate, option B indicates absence of late decelerations, and option D describes contractions that are not concerning if not felt by the client.