ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 1 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. This statement shows understanding as it highlights the importance of emptying the bladder before the procedure to prevent any discomfort or complications.
Choice B is incorrect because fasting for 24 hours is unnecessary and could be harmful.
Choice C is incorrect as the client is expected to be awake during the procedure.
Choice D is incorrect because the client may not necessarily be lying on their side.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assess the newborn's latch while breastfeeding the newborn. This is the best action as it ensures proper breastfeeding technique, which is crucial for adequate milk transfer and preventing nipple soreness.
Choice B is incorrect as it may decrease milk supply.
Choice C is incorrect as newborns need to feed frequently.
Choice D is incorrect as limiting breastfeeding time can lead to inadequate milk intake.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is D: Assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the pelvis and promoting the descent of the fetus. Moving the client onto their hands and knees (
A) may help in certain situations but is not as effective as D. Applying pressure to the fundus (
B) can cause complications. Pressing on the suprapubic area (
C) may not be helpful in this situation.
Therefore, option D is the most appropriate choice to assist in the birthing process.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 5 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.