ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 1 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 2 of 5
Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: The correct answer is A: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils are legumes known for their high fiber content, providing around 15.6 grams of fiber per cooked cup. This is significantly higher than the fiber content in the other choices. Cabbage, asparagus, and oatmeal have lower fiber content per cup compared to lentils. Lentils are a great source of dietary fiber, which is beneficial for digestion and overall health.
Therefore, choosing lentils would be the best option for increasing fiber intake.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 3 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: The correct answer is D: Fundus firm to palpation. This indicates that the uterus is contracting well, which is important for preventing postpartum hemorrhage. A firm fundus at this time indicates good involution of the uterus.
Choices A, B, and C are indicative of potential issues that would require further assessment and intervention.
Choice A suggests hypotension, B may indicate a urinary tract infection, and C suggests excessive bleeding.
Choice E indicates a higher-than-expected fundal height, which could indicate uterine atony.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. It suggests an overgrowth of harmful bacteria or yeast. Thick, white vaginal discharge (choice
A) is characteristic of a yeast infection. Vulva lesions (choice
B) may indicate an STD or skin condition. Urinary frequency (choice
C) is not typically associated with vaginal infections. In summary, malodorous discharge is the most concerning finding, as it signifies a possible infection, while the other choices are less specific or unrelated.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 5 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.