ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 1 of 5
Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?
Correct Answer: A
Rationale: The correct answer is A: Ibuprofen. Ibuprofen is a commonly used analgesic medication that helps relieve pain and reduce inflammation. It is safe and effective for mild to moderate pain management. As a nurse, documenting the administration of ibuprofen is important for monitoring the client's pain relief and ensuring proper medication management.
Summary of why other choices are incorrect:
B: Aspirin - While aspirin is also an analgesic, it is not typically used for pain relief due to its antiplatelet effects and potential risks of bleeding.
C: Meperidine - Meperidine is a narcotic analgesic with a high potential for abuse and adverse effects, making it less suitable for routine pain management.
D: Fentanyl citrate - Fentanyl is a potent opioid analgesic that is usually reserved for severe pain due to its high potency and risk of respiratory depression. It is not typically the first choice for pain management.
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct statement is A because preterm newborns have less muscle tone, making them more susceptible to heat loss. This is due to their underdeveloped thermoregulatory mechanisms. Shivering (
B) is not a common response in newborns and is more likely to be seen in adults. Sweating (
C) is also not a common response in newborns as their sweat glands are not fully developed. Brown fat (
D) is essential for thermoregulation in newborns and helps them stay warm, not overheat.
Therefore, A is the correct statement as it directly addresses the vulnerability of preterm newborns to heat loss due to their low muscle tone.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 3 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B because a client with a previous classical incision (vertical uterine incision) is at risk for uterine rupture during a contraction stress test due to the weakened uterine wall. A uterine rupture can lead to severe complications for both the mother and the baby. Clients with previous classical incisions should not undergo contraction stress tests.
Choice A is incorrect because a previous stillbirth is not a contraindication for a contraction stress test.
Choice C is incorrect as gestational diabetes mellitus alone is not a contraindication for the test.
Choice D is also incorrect as a nonreactive nonstress test does not directly contraindicate a contraction stress test.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to turn the client to a side-lying position (
Choice
A) to prevent aspiration in case of vomiting. This position helps maintain airway patency and facilitates drainage.
Choice B is incorrect as it does not address immediate risks.
Choice C is not a priority unless the client is hypoxic.
Choice D is contraindicated in the immediate postpartum period. No further choices provided.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 5 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 indicates hyperglycemia, which can be a sign of diabetes or other underlying health issues requiring immediate attention. The nurse should report this to the provider for further evaluation and management to prevent complications.
A: WBC count 11,000/mm3 - Slightly elevated WBC count is common and may not warrant immediate reporting unless there are other concerning symptoms.
C: Hematocrit 37% - Falls within normal range and does not indicate any immediate issues.
D: Creatinine 0.9 mg/dL - Normal creatinine levels suggest healthy kidney function and do not require urgent reporting.
In summary, the nurse should report the high fasting blood glucose level as it signifies a potential health problem that needs prompt attention, while the other choices fall within normal ranges and do not require immediate reporting.