ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 1 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Breast tenderness is a common adverse effect of hormonal medications like oral contraceptives. It occurs due to hormonal fluctuations and can be bothersome for some individuals. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with the side effects of oral contraceptives. Tinnitus is more commonly associated with ototoxic medications, urinary frequency may be seen with diuretics, and chills could be a sign of infection or cold exposure.
Therefore, the nurse should include breast tenderness as a potential adverse effect in the teaching plan.
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: D
Rationale: The correct answer is D because positioning the car seat at a 45-degree angle is crucial for the safety of the baby. This angle helps prevent the baby's head from falling forward and restricting their airway.
Choices A, B, and C are incorrect because a car seat challenge test is not related to understanding teaching, using a sleep sack in a car seat may compromise safety, and turning the car seat forward before the recommended age is unsafe.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. In infants, excessive crying can be a sign of discomfort or illness, indicating the need for further assessment by the nurse. Absent Moro reflex (
A) is abnormal and indicates neurological issues. Diminished deep tendon reflexes (
C) and decreased muscle tone (
D) can also be concerning neurological findings. However, excessive crying is a more immediate and urgent concern that requires prompt evaluation and intervention.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 4 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Labor induction with oxytocin increases the risk of postpartum hemorrhage due to uterine hyperstimulation leading to poor uterine muscle contractions.
D: History of uterine atony indicates weak uterine muscles, which can result in ineffective contraction post-delivery, leading to hemorrhage.
E: Vacuum-assisted delivery can cause trauma to the birth canal and uterus, increasing the risk of postpartum hemorrhage.
Summary of Incorrect
Choices:
A: Newborn weight is not a direct risk factor for postpartum hemorrhage.
B: History of human papillomavirus does not predispose to postpartum hemorrhage.
F, G: No information provided.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 5 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele’s Rule, we add 7 days to the first day of the last menstrual period, subtract 3 months, and then add 1 year. For example, if LMP is February 10, the estimated due date would be November 17.
Therefore, choice C (17-May) is the correct estimated date of delivery based on this rule.
Choices A (13-May) and B (20-May) are incorrect as they do not follow Nägele’s Rule calculations.
Choice D (3-May) is also incorrect as it does not account for the necessary calculations.