ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Initiate seizure precautions. This is crucial in caring for an infant at risk for seizures. Seizure precautions involve ensuring a safe environment, padding the crib, keeping the infant away from sharp objects, and having emergency medications ready. Placing the infant on his back with legs extended (
A) is the recommended sleep position but not directly related to seizure precautions. Providing a stimulating environment (
B) may not be appropriate for an infant at risk for seizures. Monitoring blood glucose every hour (
C) is not typically done for seizure precautions unless there is a specific indication.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client is multigravida and multipara with no history of GBS.
Question 2 of 5
She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because testing for Group B Streptococcus (GBS) is typically done closer to the time of delivery to determine the current status of GBS colonization, which can change throughout pregnancy. Testing earlier may not accurately reflect the GBS status at delivery.
Choice A is incorrect as the presence of symptoms is not always indicative of GBS colonization.
Choice B is incorrect as GBS status can change between pregnancies.
Choice C is incorrect because previous prenatal testing does not guarantee GBS status at delivery.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. Malodor suggests an overgrowth of harmful bacteria or other pathogens in the vaginal flora. Vulva lesions (
A) may indicate a different issue like herpes or genital warts. Urinary frequency (
C) is more common in conditions like urinary tract infections. Thick, white vaginal discharge (
D) is typical of a yeast infection, not necessarily malodorous. In summary, malodorous discharge is the most concerning finding as it suggests an active infection requiring prompt evaluation and treatment.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with photos of the fetus. This action promotes bonding and helps the client cope with the loss by creating lasting memories. It allows the client to visually connect with the fetus and aids in the grieving process. Providing photos can offer comfort and closure.
Incorrect
Choices:
B: Informing the client that the law requires them to name the fetus is incorrect because there is no such legal requirement.
C: Limiting the amount of time the fetus is in the client's room may not be necessary and could hinder the client's grieving process.
D: Instructing the client that an autopsy should be performed within 24 hours is incorrect as it may not be the best timing for the client emotionally and may not be necessary in all cases.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 5 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Contact precautions. Contact precautions are necessary when a patient has an infection that spreads through direct or indirect contact. This includes wearing gloves, gowns, and proper hand hygiene. Droplet precautions (choice
A) are for infections spread through respiratory droplets, airborne precautions (choice
C) are for infections spread through airborne particles, and protective environment (choice
B) is for patients with compromised immune systems. The other choices are not relevant to the scenario described.