ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa.
Question 1 of 5
Which of the following assessment findings requires immediate follow-up?
Correct Answer: A
Rationale: The correct answer is A: Vaginal bleeding. This finding requires immediate follow-up as it could indicate a serious issue such as placental abruption, ectopic pregnancy, or preterm labor. Prompt assessment and intervention are crucial to ensure maternal and fetal well-being.
Choices B, C, and D are within normal ranges and do not require immediate follow-up.
Choice B (fetal heart rate of 174 bpm) is within the normal range for a fetus.
Choice C (fundal height of 33 cm) is appropriate for gestational age.
Choice D (abdomen soft on palpation and without tenderness) indicates normal findings.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 2 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 3 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C because performing a vaginal examination by applying upward pressure on the presenting part helps assess the progress of labor and fetal descent, which is crucial in determining the need for immediate intervention or transfer. Initiating an infusion of IV fluids (
A) is not the next step as the priority is to assess the progress of labor first. Administering oxygen (
B) may be important but not the immediate next step after notifying the provider. Performing a vaginal examination (
C) is more critical in this situation. Covering the umbilical cord with a sterile saline towel (
D) is not necessary at this point.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: Offer your baby a pacifier during naps if desired. This statement is correct because offering a pacifier during naps can help reduce the risk of sudden infant death syndrome (SIDS). Pacifiers have been shown to soothe babies and facilitate better sleep, which can be beneficial for both the baby and the parents.
Incorrect statements:
A: Apply triple antibiotic ointment on your baby's umbilical cord twice daily - This is incorrect because applying ointment on the umbilical cord can actually increase the risk of infection.
B: Give your baby an immersion bath daily - This is incorrect because newborns do not need daily immersion baths, as it can dry out their skin.
C: Swaddle your baby with their legs in an extended position - This is incorrect because swaddling with legs extended can increase the risk of hip dysplasia.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 5 of 5
How many tablets should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: C
Rationale: The nurse should administer 8 tablets because the question asks for rounding to the nearest whole number. The number of tablets is between 7.5 and 8.5, so rounding to the nearest whole number gives 8.
Choice A (4) is too low, B (6) is also too low, and D (10) is too high.
Therefore, the correct answer is C (8) as it is the closest whole number to the actual value.