ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 2 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates an understanding of safe positioning for a car seat to protect the baby's airway and prevent slouching. Placing the car seat at a 45-degree angle helps keep the baby's head from falling forward, ensuring proper breathing.
Choice B is incorrect as a car seat challenge test is typically done in the hospital, not before discharge.
Choice C is incorrect because babies should remain rear-facing until at least 2 years old for optimal safety.
Choice D is incorrect because using bulky items like sleep sacks in the car seat can compromise the harness's effectiveness.
Extract:
A nurse is assessing 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: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: The correct answer is B: Third-degree perineal laceration. This is a contraindication to using a suppository because the insertion of a suppository may cause further trauma or discomfort to the area, delaying the healing process and increasing the risk of infection. Vaginal candidiasis (choice
A) is not a contraindication as the suppository can actually be used to treat this condition. Abdominal distention (choice
C) and afterpains (choice
D) are not direct contraindications to using a suppository and can be managed separately.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 5 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.