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. This action is the most direct and objective method to evaluate medication adherence. By measuring the actual concentration of the medication in the client's blood, the nurse can determine if the prescribed medication is being taken as directed. This method provides concrete evidence of adherence compared to just asking the client (
A), which may not always be reliable. Determining the apical pulse rate (
B) and assessing kidney function (
D) are important aspects of client care but are not directly related to evaluating medication adherence.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding indicates hyperglycemia, which can be a sign of diabetes or other underlying health issues requiring immediate attention. The nurse should report this to the provider for further evaluation and management to prevent complications.
A: WBC count 11,000/mm3 - Slightly elevated WBC count is common and may not warrant immediate reporting unless there are other concerning symptoms.
C: Hematocrit 37% - Falls within normal range and does not indicate any immediate issues.
D: Creatinine 0.9 mg/dL - Normal creatinine levels suggest healthy kidney function and do not require urgent reporting.
In summary, the nurse should report the high fasting blood glucose level as it signifies a potential health problem that needs prompt attention, while the other choices fall within normal ranges and do not require immediate reporting.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the newborn's latch while breastfeeding the newborn. This is the best action as it ensures proper breastfeeding technique, which is crucial for adequate milk transfer and preventing nipple soreness.
Choice B is incorrect as it may decrease milk supply.
Choice C is incorrect as newborns need to feed frequently.
Choice D is incorrect as limiting breastfeeding time can lead to inadequate milk intake.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 4 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D. Checking identification badges of staff who enter the room is crucial for ensuring the safety and security of the newborn and the mother. By verifying the identity of the staff, the nurse can prevent unauthorized individuals from accessing the room and potentially harming the newborn or the mother. This practice also helps in maintaining a secure and controlled environment within the healthcare setting.
Choice A is incorrect because limiting visitors to immediate family may not address all potential risks to the newborn and mother.
Choice B is incorrect as sending the newborn to the nursery while the mother is sleeping may disrupt bonding and breastfeeding.
Choice C is incorrect as removing the electronic monitoring band can compromise the monitoring of the newborn's vital signs.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 5 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: A
Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.