ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The first action the nurse should take when caring for a client who has bladder distention following a vaginal birth is to assist the client to the bathroom. Encouraging the client to empty her bladder will relieve the distention and promote comfort.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 2 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: Checking the client's serum medication level is the most direct and objective method to evaluate medication adherence. It provides a quantifiable measure of the digoxin level in the blood, indicating whether the client is taking the medication as prescribed.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: C
Rationale: The nurse should provide the instruction to check identification badges of staff who enter your room to ensure only authorized personnel have access to the baby.
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: C
Rationale: Protein intake is a key concern for individuals following a vegan diet, as many sources of protein are animal-based.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 5 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.