ATI RN
ATI RN Maternal Newborn 2023 II 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: C
Rationale: The correct answer is C. The nurse should assess the client at 8 weeks of gestation reporting severe vomiting first as it may indicate hyperemesis gravidarum, a serious condition causing dehydration and electrolyte imbalances, risking maternal and fetal health. Severe vomiting can lead to complications like malnutrition and weight loss, affecting the developing fetus. Assessing this client first is crucial to provide immediate interventions and prevent further harm.
Other choices are less urgent: A - tingling fingers can be related to carpal tunnel syndrome common in pregnancy; B - back pain post-intercourse is common in late pregnancy due to pressure on the pelvis; D - frequent urination is a common early pregnancy symptom. These symptoms are not as concerning as severe vomiting, making choice C the priority.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 2 of 5
Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale:
Rationale: The nurse should ask about the improvement in back labor as it directly evaluates the effectiveness of the intervention related to back pain relief. Contractions, pelvic pressure, and suprapubic pain are not directly related to back labor.
Therefore, asking about back labor improvement is the most relevant way to assess the intervention's success.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 3 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: A
Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: C
Rationale:
Correct Answer: C. Third-degree perineal laceration is a contraindication to the use of a suppository due to the risk of causing further trauma and infection. Suppositories are typically inserted rectally, and in the case of a third-degree perineal laceration, there is a significant risk of exacerbating the injury and delaying healing.
Incorrect
Choices:
A: Vaginal candidiasis - This is not a contraindication as suppositories can be used in the vagina for treating candidiasis.
B: Afterpains - Afterpains are not a contraindication for the use of a suppository.
D: Abdominal distention - Abdominal distention is not a direct contraindication to the use of a suppository unless it is due to a specific condition that may be worsened by the suppository.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 5 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important for assessing the client's overall dietary intake, as protein is a crucial macronutrient for health. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs. Other choices are incorrect as they do not directly relate to assessing dietary intake.
Choice A focuses only on meat consumption, which is limited in scope.
Choice C is specific to Vitamin C, not overall dietary intake.
Choice D is about shellfish, which is too narrow. By asking about protein intake, the nurse can gather valuable information to assess the client's dietary habits comprehensively.