ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Verify that informed consent is obtained prior to administration. This is essential to ensure the client's autonomy and understanding of the treatment. Informed consent is a legal and ethical requirement in healthcare.
A: Allowing medication to reach room temperature is not typically necessary for administration and is not a critical action compared to obtaining informed consent.
C: Placing the client in a semi-Fowler's position after administration is not a standard procedure for most medications and does not directly relate to ensuring the client's understanding and consent.
D: Instructing the client to avoid urinary elimination is not relevant to medication administration and could potentially harm the client if followed.
In summary, option B is the correct choice as it directly pertains to ensuring patient safety and rights during the administration of medication.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 2 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: D
Rationale: The correct answer is D: Maintain a healthy weight. This is because maintaining a healthy weight is a fundamental nonpharmacological treatment that can positively impact various health conditions. Excess weight can contribute to a range of health issues, including cardiovascular disease, diabetes, and joint problems. By suggesting maintaining a healthy weight, the nurse is promoting overall well-being and reducing the risk of developing these health conditions.
Other choices are incorrect because:
A: Taking daily hot baths may provide temporary relief for certain conditions but is not a comprehensive treatment.
B: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general nonpharmacological treatment.
C: Drinking herbal tea two times daily may have some health benefits, but it is not a primary nonpharmacological treatment for a specific condition.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Postpartum hemorrhage. This is because postpartum hemorrhage is a common complication after childbirth, especially in clients who have risk factors such as multiple pregnancies, prolonged labor, or history of hemorrhage. It is important for the nurse to be aware of this risk and monitor the client closely.
Choices A, B, and D are conditions related to pregnancy complications but are not specifically mentioned in the question as risks for the client.
Therefore, they are incorrect choices.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 4 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.
Extract:
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen at 10 L/min via nonrebreather facemask. This action is necessary to ensure adequate oxygenation and prevent hypoxia after discontinuing the infusion. High-flow oxygen via a nonrebreather mask can help maintain oxygen saturation levels and support the client's respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion.
Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful.
Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.