ATI RN
ATI RN Maternal Newborn 2023 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: B
Rationale: The correct answer is B. The nurse should assess the client at 8 weeks gestation reporting severe vomiting first. This client could be suffering from hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances, posing a risk to both the mother and the fetus. Immediate assessment and intervention are crucial to prevent complications.
Choice A: Back pain following intercourse at 36 weeks gestation is common and usually not an urgent issue requiring immediate assessment.
Choice C: Frequent urination at 10 weeks gestation is a common symptom of early pregnancy and does not indicate an immediate need for assessment.
Choice D: Periodic tingling of the fingers at 24 weeks gestation could be due to carpal tunnel syndrome, which is common in pregnancy but does not require immediate assessment unless accompanied by other concerning symptoms.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 2 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 3 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client's serum medication level. This is the best action to evaluate medication adherence because it directly measures the concentration of the medication in the client's bloodstream. If the medication level is within the therapeutic range, it indicates that the client is taking the medication as prescribed. If the level is too low or too high, it suggests non-adherence or potential issues with medication absorption or metabolism.
Choice A is incorrect as determining the client's apical pulse rate does not directly assess medication adherence.
Choice B is less reliable as clients may not always provide accurate information about their medication adherence.
Choice C is unrelated to evaluating medication adherence.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 4 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: D
Rationale: Using Nägele's Rule, we add 7 days to the first day of the last menstrual period and count forward 3 months. For D: 17-May, the first day would be February 10th (17 - 3 months = February 10th). Adding 7 days gives February 17th. Thus, the estimated delivery date is May 17th.
Choice A (3-May) is too early, B (20-May) is too late, and C (13-May) is also too early based on the calculation method.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action for the nurse to take first is to assist the client to the bathroom (choice
B). This is the priority because it addresses the immediate need for the client's elimination. By assisting the client to the bathroom, the nurse ensures the client's comfort and dignity while also promoting their physical well-being. Inserting a urinary catheter (choice
A) should only be done if the client is unable to void on their own after other interventions. Offering a sitz bath (choice
C) and pouring warm water over the perineum (choice
D) may be helpful for comfort but do not address the urgent need for elimination.