ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A postpartum client who has a prescription for a rubella immunization.
Question 1 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates understanding of the teaching regarding the need to avoid pregnancy for at least 1 month following the immunization to prevent any potential harm to the fetus.
Choice A is incorrect because breastfeeding is not contraindicated after immunization.
Choice B is incorrect because it provides incorrect information about the immunization schedule.
Choice C is incorrect because joint pain is a common side effect of some vaccines and does not necessarily require immediate reporting.
Extract:
A client who is in labor and has a spontaneous rupture of membranes. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 2 of 5
After calling for help, which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is A: Use fingers to exert upward pressure on the presenting part. This is the first step in managing a prolapsed cord to alleviate pressure on the cord and prevent fetal hypoxia. Immediate action is crucial in this emergency situation. Administering tocolytic medication (
B) is not the priority as it does not address the immediate risk to the fetus. Applying oxygen via facemask (
C) is important but secondary to relieving cord compression. Wrapping the cord in a sterile towel (
D) is not recommended as it can further compress the cord.
Extract:
A client following a vaginal delivery of a term fetal demise.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You can bathe and dress your baby if you'd like to." This statement empowers the parent to make choices regarding caring for their baby, promoting autonomy and bonding. It fosters a sense of control and involvement in the care process.
Choice B is incorrect as it assumes the parent wants another baby, which may not be the case and can be insensitive.
Choice C is incorrect as it implies that not holding the baby will make it harder to let go, which may not be true for everyone and can induce guilt.
Choice D is incorrect as naming the baby is a personal decision and should not be dictated by others.
Extract:
A client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 4 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: A
Rationale: The correct answer is A. A blood pressure of 88/40 mm Hg is indicative of hypotension, which is a common sign of hemorrhage due to decreased blood volume. Hypotension results from the body's compensatory mechanisms to maintain perfusion. Options B, C, and D are not specific indicators of hemorrhage. Urinary output of 40 mL/hr is within normal range, moderate rubra lochia is expected in the postpartum period, and a heart rate of 90/min is not necessarily abnormal. It is crucial for the nurse to recognize hypotension as a potential sign of hemorrhage to intervene promptly and prevent further complications.
Extract:
A client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 5 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: The correct answer is D: Contact. Contact isolation precautions are used to prevent the spread of infections that are transmitted by direct or indirect contact. This includes wearing gloves, gowns, and practicing proper hand hygiene. For this client, contact precautions are necessary to prevent transmission of infectious agents through direct physical contact or contact with contaminated surfaces. Droplet precautions (
A) are used for infections spread through respiratory droplets, airborne precautions (
B) are for infections transmitted through tiny particles in the air, and protective environment (
C) is used to protect immunocompromised patients from outside pathogens. In this case, contact precautions are the most appropriate to prevent the spread of infection.