ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
A nurse in a clinic is caring for a 16-year-old adolescent.
Exhibit 1
History and Physical
Adolescent is sexually active with two current partners.
IUD in place
Reports not using condoms during sexual activity.
History of type 1 diabetes mellitus”
Question 1 of 5
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
| Assessment Findings | Trichomoniasis | Gonorrhea | Candidiasis |
|---|---|---|---|
| Abdominal pain. | |||
| Greenish discharge. | |||
| Diabetes. | |||
| Pain on urination. | |||
| Absence of condom. |
Correct Answer: B, D
Rationale:
To determine the correct answer, we need to analyze each assessment finding and its correlation with the possible conditions.
- Greenish discharge is typically associated with both trichomoniasis and gonorrhea due to their infection of the reproductive system.
- Pain on urination is a common symptom of both gonorrhea and trichomoniasis due to inflammation and irritation of the urinary tract.
- Abdominal pain is not specific to any of the given conditions but could be present in various infections or conditions.
- Diabetes is not directly related to the symptoms mentioned, as it is a metabolic disorder.
- Absence of condom is not a direct symptom but is important for assessing the risk of sexually transmitted infections.
Therefore, the correct answer is B, D as greenish discharge and pain on urination are consistent with both trichomoniasis and gonorrhea.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hr old.
Physical Examination:
• Fontanels soft and flat
• Head molded with caput succedaneum
• Eyes symmetric, no discharge, sclera yellow
• Mucous membranes dry
• Abdomen soft and rounded, bowel sounds present x 4 quadrants
Question 2 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A,B,C,G
Rationale: The correct answers are A, B, C, and G. A Coombs test result is important for assessing for hemolytic anemia. Mucous membrane assessment is crucial for detecting dehydration or oxygenation issues. Intake and output are vital indicators of fluid balance. Sclera color can indicate liver function or jaundice.
Choices D, E, and F are not typically findings that would warrant immediate reporting to the provider unless they are significantly abnormal and impacting the patient's condition.
Extract:
Question 3 of 5
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. This is the most appropriate action as sore nipples are often caused by improper latch. By assessing the newborn's latch, the nurse can identify and correct any issues that may be causing discomfort for the mother. Waiting 4 hours between feedings (choice
A) can lead to engorgement and decreased milk supply. Limiting breastfeeding time to 5 minutes per breast (choice
C) can prevent the newborn from getting enough milk and may worsen the soreness. Offering supplemental formula (choice
D) can decrease the mother's milk supply and hinder the establishment of breastfeeding.
Question 4 of 5
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Allow the baby to feed at least every 3 hours. This instruction is important because frequent feeding helps to establish and maintain a good milk supply, promotes bonding, and ensures the baby receives adequate nutrition.
Choice A is incorrect as breastfeeding should not be limited to a specific time duration.
Choice B is incorrect as offering water to a newborn can interfere with breastfeeding and increase the risk of water intoxication.
Choice C is incorrect as the number of wet diapers can vary, and it is not a reliable indicator of successful breastfeeding.
Question 5 of 5
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A,C,D
Rationale: The correct answers are A, C, and D.
A) Labor induction with oxytocin can lead to uterine hyperstimulation, increasing the risk of postpartum hemorrhage.
C) Vacuum-assisted delivery can cause trauma to the birth canal, leading to excessive bleeding.
D) A history of uterine atony indicates a weak uterine muscle tone, which is a significant risk factor for postpartum hemorrhage.
B) Newborn weight and E) history of human papillomavirus are not directly related to postpartum hemorrhage.