ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: The correct answer is D: A client who is at 8 weeks of gestation and reports severe vomiting. This client should be assessed first because severe vomiting in early pregnancy may indicate hyperemesis gravidarum, a serious condition that can lead to dehydration and electrolyte imbalances, endangering both the mother and the fetus. Immediate assessment and intervention are crucial.
Choice A is incorrect because frequent urination is a common symptom in early pregnancy and does not typically require urgent assessment.
Choice B is incorrect because periodic tingling of the fingers at 24 weeks of gestation may be related to carpal tunnel syndrome, which is common in pregnancy but not as urgent as severe vomiting.
Choice C is incorrect because back pain following intercourse at 36 weeks of gestation is likely due to the pressure on the back from the growing uterus and is not as urgent as severe vomiting in early pregnancy.
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 2 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: The correct answer is B. By asking if the patient notices increased cramping with breastfeeding, the nurse can assess if additional pain medication is needed. This question specifically targets the need for PRN pain medication by focusing on a specific activity that may exacerbate pain.
Choices A, C, and D are unrelated to determining the need for pain medication in this context. Swelling in the feet may indicate other issues, leakage from the incision may suggest infection, and passing gas is not directly related to pain management.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hours ago.
Question 3 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, D
Rationale: Vacuum-assisted delivery (
A) can cause trauma leading to increased bleeding, and labor induction with oxytocin (
D) can lead to uterine atony, both increasing hemorrhage risk.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 4 of 5
Which of the following non-pharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because weight management plays a crucial role in overall health, including reducing the risk of various health conditions. Being overweight can contribute to a range of health issues, such as cardiovascular diseases and diabetes. The nurse should suggest maintaining a healthy weight to promote overall well-being.
Other choices are incorrect because:
A: Drinking herbal tea may have some benefits, but it is not a standard non-pharmacological treatment for a specific condition.
B: Taking daily hot baths may provide relaxation but is not a targeted treatment for any particular health issue.
D: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general non-pharmacological treatment suggestion.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 5 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Jitteriness. Hypoglycemia is low blood sugar, leading to brain dysfunction. Jitteriness is a common early sign due to the brain's reliance on glucose for energy. Increased muscle tone (
B) and abdominal distention (
C) are not typical manifestations of hypoglycemia. Petechiae (
D) are tiny, flat, red or purple spots on the skin due to bleeding and are not associated with hypoglycemia.