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.
Question 2 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 is assessing a client who is 6 hr postpartum and has endometritis.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 4 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and pain in the flank area. Flank pain is a common symptom due to the infection in the renal pelvis and kidney tissue. Epigastric discomfort (
A) is more indicative of gastrointestinal issues. Temperature elevation (
C) is a general sign of infection but not specific to pyelonephritis. Abdominal cramping (
D) is more associated with gastrointestinal problems.