ATI RN Maternal Newborn 2023 Exam 4 | Nurselytic

Questions 65

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn 2023 Exam 4 Questions

Extract:

A nurse is obtaining a 2-hr postprandial blood glucose from a patient.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is the most appropriate action because the lateral side of the finger has fewer nerve endings, making it less painful for the patient. Puncturing this area also minimizes the risk of hitting bone and ensures an adequate blood flow for sampling. Holding the finger above the heart (choice
A) is incorrect as it may affect blood flow. Smearing blood onto the reagent strip (choice
B) is incorrect as it can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
C) is incorrect as it can dilute the blood sample.

Extract:

A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.


Question 2 of 5

After calling for assistance and notifying the provider, which of the following actions should the nurse take next?

Correct Answer: C

Rationale: The correct answer is C because performing a vaginal examination by applying upward pressure on the presenting part helps assess the progress of labor and fetal descent, which is crucial in determining the need for immediate intervention or transfer. Initiating an infusion of IV fluids (
A) is not the next step as the priority is to assess the progress of labor first. Administering oxygen (
B) may be important but not the immediate next step after notifying the provider. Performing a vaginal examination (
C) is more critical in this situation. Covering the umbilical cord with a sterile saline towel (
D) is not necessary at this point.

Extract:

A nurse is assessing a patient who is 3 days postpartum.


Question 3 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: The correct answer is B: Cool, clammy skin. This finding indicates possible signs of poor perfusion or shock, which require immediate attention. The other choices are within normal limits or expected postpartum findings. A: Heart rate 89/min is generally normal. C: BP 120/70 mm Hg is within normal range. D: Moderate lochia serosa is an expected finding in the postpartum period.
Therefore, B is the only abnormal finding that requires immediate reporting to the provider for further evaluation and intervention.

Extract:

A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.


Question 4 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 should be reported to the provider because it is above the normal range, indicating hyperglycemia, which may require immediate intervention or adjustment of the treatment plan. Elevated blood glucose levels can lead to complications in diabetic patients.

A: WBC count of 11,000/mm³ is slightly elevated but not significantly outside the normal range, so it may not require immediate reporting unless other symptoms are present.

C: Hematocrit of 37% falls within the normal range, so it does not warrant immediate reporting.

D: Creatinine level of 0.9 mg/dL is within the normal range and does not require immediate reporting.

Extract:

A nurse is discussing fertility treatment options with a client and their partner.


Question 5 of 5

Which of the following non-pharmacological treatments should the nurse suggest?

Correct Answer: C

Rationale: The correct answer is C: Maintain a healthy weight. This is because weight management plays a crucial role in overall health, including reducing the risk of various health conditions. Being overweight can contribute to a range of health issues, such as cardiovascular diseases and diabetes. The nurse should suggest maintaining a healthy weight to promote overall well-being.
Other choices are incorrect because:
A: Drinking herbal tea may have some benefits, but it is not a standard non-pharmacological treatment for a specific condition.
B: Taking daily hot baths may provide relaxation but is not a targeted treatment for any particular health issue.
D: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general non-pharmacological treatment suggestion.

Access More Questions!

ATI RN Basic


$89/ 30 days

 

ATI RN Premium


$150/ 90 days

 

Similar Questions