ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 1 of 5
Which of the following clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: The client's fundus is firm and midline. This is the expected therapeutic effect after childbirth as the uterus contracts to reduce bleeding and return to its normal size. A firm and midline fundus indicates proper uterine contraction and involution.
Choice A is incorrect as vaginal fullness is not a typical therapeutic effect of medication.
Choice C suggests excessive bleeding, which is not a desired outcome.
Choice D is irrelevant to postpartum care.
Extract:
A client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 2 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: The correct answer is 0.5 tablets per dose. This is because when rounding to the nearest tenth, 0.5 falls midway between 0 and 1. In this case, 0.5 is closer to 0 than to 1, so we round down to 0.5. The other choices are incorrect as follows: A: 0 -
Too low, as 0.5 is closer to 1 than to 0. B-G: Any whole number or fraction greater than 0.5 is incorrect because rounding 0.5 down to the nearest tenth results in 0.5 tablets per dose.
Extract:
A client who is 1 hr postpartum and has preeclampsia without severe features.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Assess for edema. It is important for the nurse to assess for edema as it can indicate fluid overload or renal dysfunction, both of which require prompt intervention. Edema assessment involves checking for swelling in the extremities, pitting edema, and monitoring intake and output. Obtaining a prescription for misoprostol (
A) is not necessary without a specific indication. Restricting daily oral fluid intake (
C) could be harmful, especially if the patient is already dehydrated. Administering an IV bolus of lactated Ringer's (
D) is not appropriate without a physician's order and assessment indicating the need for fluid resuscitation.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: This medication prevents seizures. This is the appropriate response because it directly relates to the action of the medication, which is likely an antiepileptic drug. Seizure prevention is a common indication for such medications in various clinical settings.
Choices A, C, and D are incorrect because they do not align with the typical action of a medication used to prevent seizures.
Choice A is more related to medications that increase heart function, choice C to medications affecting fetal heart rate, and choice D to medications improving blood flow. It is important for a nurse to provide accurate and relevant information to ensure patient safety and optimal outcomes.
Extract:
A new parent about findings that require notification of the newborn's provider.
Question 5 of 5
Which of the following newborn clinical manifestations should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Yellowed sclera. This clinical manifestation could indicate jaundice, a common condition in newborns due to the immature liver. It is important for the nurse to include this in teaching as it requires monitoring and potential medical intervention. Stooling after each breastfeeding (
B) is normal in newborns. Intermittent crossing of eyes (
C) is also common as their visual system develops. Voids eight to ten times per day (
D) is a normal urinary output for newborns.