ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is option C: Evaluate urinary output. This is crucial post-surgery to assess renal function and fluid status, ensuring proper kidney function and hydration. Monitoring urinary output helps detect early signs of complications like acute kidney injury or fluid imbalance. Applying an ice pack (
A) may be indicated for pain management, but it does not address the immediate concern of renal function. Administering IV fluids (
B) without assessing the need based on urinary output can lead to fluid overload or dehydration. While replacing the surgical dressing (
D) is important for wound care, it is not the priority in this scenario.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide the client with a cool sitz bath. This is the appropriate action because a sitz bath can help in soothing the perineum, reducing swelling, and promoting healing after childbirth. It is a gentle and effective method for postpartum perineal care. Applying povidone-iodine (choice
A) after voiding can be too harsh and may cause irritation. Administering methylergonovine (choice
C) is not indicated for perineal care and can have adverse effects. Applying a warm compress (choice
D) may not be as effective in reducing swelling compared to a cool sitz bath.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 3 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. This statement shows understanding as it highlights the importance of emptying the bladder before the procedure to prevent any discomfort or complications.
Choice B is incorrect because fasting for 24 hours is unnecessary and could be harmful.
Choice C is incorrect as the client is expected to be awake during the procedure.
Choice D is incorrect because the client may not necessarily be lying on their side.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 5 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.