ATI RN Maternal Newborn 2023 II

Extract:

A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.

Question 1 of 5

Which of the following findings indicates that the client should be referred to a registered dietician?

A. The client reports a 4 kg (10 lb) weight gain since their positive pregnancy test. B. The client reports that they eat prunes to help manage their constipation. C. The client reports that they take a multivitamin daily. D. The client reports that they are nauseous most mornings.

Correct Answer: A

Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.

Extract:

A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.

Question 2 of 5

Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?

A. Have you noticed any swelling in your feet?' B. Do you have any leakage from your incision?' C. Do you notice increased cramping with breastfeeding?' D. Are you able to pass gas?'

Correct Answer: C

Rationale: The correct answer is C: "Do you notice increased cramping with breastfeeding?" This question is essential to determine if a PRN pain medication is needed as increased cramping during breastfeeding can indicate discomfort or pain, thus necessitating the use of pain medication. The other options are unrelated to pain assessment or pain management. Option A focuses on swelling, which does not directly relate to pain. Option B pertains to incision leakage, which is more related to wound care rather than pain assessment. Option D is about passing gas, which is not a relevant question when assessing the need for pain medication.
Therefore, option C is the most appropriate question to ask in this scenario to evaluate the need for PRN pain medication.

Extract:

A nurse is caring for a client who is postpartum following a vaginal birth.

Question 3 of 5

Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?

A. Ibuprofen B. Aspirin C. Meperidine D. Fentanyl citrate

Correct Answer: A

Rationale: The correct answer is A: Ibuprofen. Ibuprofen is a commonly used analgesic medication that helps relieve pain and reduce inflammation. It is safe and effective for mild to moderate pain management. As a nurse, documenting the administration of ibuprofen is important for monitoring the client's pain relief and ensuring proper medication management.

Summary of why other choices are incorrect:
B: Aspirin - While aspirin is also an analgesic, it is not typically used for pain relief due to its antiplatelet effects and potential risks of bleeding.
C: Meperidine - Meperidine is a narcotic analgesic with a high potential for abuse and adverse effects, making it less suitable for routine pain management.
D: Fentanyl citrate - Fentanyl is a potent opioid analgesic that is usually reserved for severe pain due to its high potency and risk of respiratory depression. It is not typically the first choice for pain management.

Extract:

A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.

Question 4 of 5

Which of the following statements should the nurse make?

A. Preterm newborns might have less muscle tone, which exposes more body surfaces to heat loss.' B. Preterm newborns might shiver to warm up when they get too cool.' C. Preterm newborns might sweat to cool off when they get too warm.' D. Preterm newborns might have a thin layer of brown fat that can cause them to quickly become overheated.'

Correct Answer: A

Rationale: The correct statement is A because preterm newborns have less muscle tone, making them more susceptible to heat loss. This is due to their underdeveloped thermoregulatory mechanisms. Shivering (
B) is not a common response in newborns and is more likely to be seen in adults. Sweating (
C) is also not a common response in newborns as their sweat glands are not fully developed. Brown fat (
D) is essential for thermoregulation in newborns and helps them stay warm, not overheat.
Therefore, A is the correct statement as it directly addresses the vulnerability of preterm newborns to heat loss due to their low muscle tone.

Extract:

A nurse in a prenatal clinic is caring for a group of clients.

Question 5 of 5

The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?

A. A client who had a previous stillbirth B. A client who has a previous classical incision C. A client who has gestational diabetes mellitus D. A client who had a nonreactive nonstress test

Correct Answer: B

Rationale: The correct answer is B because a client with a previous classical incision (vertical uterine incision) is at risk for uterine rupture during a contraction stress test due to the weakened uterine wall. A uterine rupture can lead to severe complications for both the mother and the baby. Clients with previous classical incisions should not undergo contraction stress tests.

Choice A is incorrect because a previous stillbirth is not a contraindication for a contraction stress test.
Choice C is incorrect as gestational diabetes mellitus alone is not a contraindication for the test.
Choice D is also incorrect as a nonreactive nonstress test does not directly contraindicate a contraction stress test.

ATI RN Maternal Newborn 2023 II | Nurselytic

Nurselytic

ATI RN

ATI RN