ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is pregnant.
Question 1 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: B
Rationale: The correct answer is B: Previous cervical cerclage. This procedure is done to prevent preterm birth in women with a history of cervical insufficiency. The placement of a cervical cerclage indicates a higher risk for preterm delivery compared to the other options. A: Previous delivery at 37 weeks gestation is not indicative of a higher risk for preterm delivery. C: Previous reactive non-stress test is a normal finding in prenatal care and does not necessarily indicate preterm delivery risk. D: Previous delivery of a newborn weighing 2.5 kg is not a strong predictor of preterm delivery risk.
Extract:
A client who plans to use hypnosis to control labor pain.
Question 2 of 5
Which of the following pieces of information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A. Hypnosis can be beneficial if practiced during the prenatal period because it can help reduce anxiety, fear, and pain during labor. By starting hypnosis practice before labor, the individual can develop effective techniques and coping strategies. Option B is incorrect as hypnosis has shown to be effective for pain management in labor. Option C is incorrect as synchronized breathing is not always required during hypnosis. Option D is incorrect as hypnosis focuses more on relaxation and mental focus rather than controlling body functions.
Extract:
A client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 3 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.
Extract:
A client who has preeclampsia.
Question 4 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: Pad the side rails of the client's bed. This is the priority because it helps prevent injury during a seizure by providing a soft surface if the client hits the rails. Dimming the lights (
A) and ensuring the call button is within reach (
B) are important but not the priority. Suction equipment (
D) is important for respiratory support post-seizure but not the priority during seizure precautions.
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.