ATI RN
ATI RN Maternal Newborn 2023 II Questions
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 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Document the guardian's refusal of the medication. This is the appropriate action because it ensures accurate and complete documentation of the refusal, which is essential for legal and ethical reasons. Reporting to social services (
A) may not be necessary unless there are concerns for the child's safety. Informing the guardian about giving the medication after discharge (
C) may not be appropriate as immediate treatment may be necessary. Notifying the ethics committee (
D) is premature without documenting the refusal first.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 2 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.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "Ovulation will remain the same." This statement indicates an understanding of the teaching as it acknowledges that the procedure being discussed will not affect the client's ovulation process. This shows that the client comprehends that the treatment will not interfere with their regular reproductive cycle.
Explanation of other choices:
A: Incorrect - Menstrual period length is not directly related to ovulation.
B: Incorrect - Hormone replacements post-procedure do not necessarily indicate understanding of the teaching.
C: Incorrect - Elimination of premenstrual tension does not specifically address ovulation.
In summary, choice D directly reflects the client's understanding of the impact of the procedure on ovulation, making it the correct answer.
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 4 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client at 8 weeks of gestation reporting severe vomiting first as it may indicate hyperemesis gravidarum, a serious condition causing dehydration and electrolyte imbalances, risking maternal and fetal health. Severe vomiting can lead to complications like malnutrition and weight loss, affecting the developing fetus. Assessing this client first is crucial to provide immediate interventions and prevent further harm.
Other choices are less urgent: A - tingling fingers can be related to carpal tunnel syndrome common in pregnancy; B - back pain post-intercourse is common in late pregnancy due to pressure on the pelvis; D - frequent urination is a common early pregnancy symptom. These symptoms are not as concerning as severe vomiting, making choice C the priority.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.