ATI RN
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:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 2 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 3 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is important for individuals experiencing nausea, as warm or hot foods can exacerbate nausea. Cool foods are generally better tolerated and can help soothe the stomach. Brushing teeth after each meal (
B) is important for oral hygiene but not directly related to managing nausea. Eating three large meals per day (
C) may overload the stomach and worsen nausea; smaller, more frequent meals are recommended. Drinking plenty of water when feeling nauseated (
D) can be beneficial, but consuming cool foods is more directly relevant to managing nausea.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse is to choose option A, which is to document the guardian's refusal of the medication. This is important for legal and ethical reasons as it ensures that the refusal is properly recorded in the patient's medical records. By documenting the refusal, the nurse is fulfilling their duty to maintain accurate and comprehensive documentation. It also allows for continuity of care and communication among healthcare providers. Options B, C, and D are incorrect as they do not address the immediate need to document the refusal. Informing the guardian about giving the medication after discharge does not address the current refusal, reporting to social services may not be necessary at this stage, and involving the ethics committee is premature without proper documentation.
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because preterm newborns have less muscle tone, leading to increased body surface area exposed to heat loss. This makes them more vulnerable to hypothermia. Option A is incorrect as brown fat helps in thermoregulation. Option B is incorrect as shivering is not a common response in preterm newborns. Option C is incorrect as sweating is a limited response in newborns.