ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and has a prescription for spinal anesthesia.
Question 1 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 110/70 mm Hg. This finding indicates the IV bolus was effective because it signifies adequate perfusion and hemodynamic stability. A stable blood pressure within normal range suggests that the medication administered through the IV bolus is successfully supporting cardiac output and blood flow.
Choice A is incorrect as perineal pain is not necessarily a direct indicator of the effectiveness of the IV bolus.
Choice B, increased urinary output, could be a positive sign but does not directly confirm the effectiveness of the IV bolus in this situation.
Choice D, relief of pruritus, is also not a direct indicator of the IV bolus efficacy in this context.
Extract:
A newborn who has a prescription for a total serum bilirubin.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is to puncture the lateral side of the heel for the procedure. This is because the lateral side of the heel is the recommended site for a heel stick, as it has fewer nerve endings and blood vessels, reducing the risk of injury and pain. Selecting a 21-gauge needle (option
A) is not specific to the procedure and may not be appropriate. Applying an alcohol pad after the procedure (option
B) is not recommended as it can cause unnecessary pain and irritation. Placing a cool cloth at the site before the procedure (option
C) is not necessary and may not be effective for pain relief. Puncturing the lateral side of the heel is the correct and most appropriate action for this procedure.
Extract:
A client who is in labor and has a prescription for spinal anesthesia.
Question 3 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: C
Rationale: The correct answer is C: Blood pressure 110/70 mm Hg. This finding indicates the IV bolus was effective because it signifies adequate perfusion and hemodynamic stability. A stable blood pressure within normal range suggests that the medication administered through the IV bolus is successfully supporting cardiac output and blood flow.
Choice A is incorrect as perineal pain is not necessarily a direct indicator of the effectiveness of the IV bolus.
Choice B, increased urinary output, could be a positive sign but does not directly confirm the effectiveness of the IV bolus in this situation.
Choice D, relief of pruritus, is also not a direct indicator of the IV bolus efficacy in this context.
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 4 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: The estimated date of delivery in the next year can be determined by looking for the last day of March, which is 31st. Since 28-Mar is the closest to the end of March, it is the correct answer.
Choice B, 21-Mar, is too early in March.
Choice C, 4-Apr, is in April.
Choice D, 14-Mar, is also too early in March.
Choices E, F, and G are not provided.
Extract:
Parents of a newborn about the Plastibell circumcision technique.
Question 5 of 5
Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because it provides important information about the expected post-operative outcome related to wound healing. Yellow exudate is a normal part of the healing process, indicating the presence of white blood cells and tissue debris. This knowledge helps the caregiver differentiate between normal and abnormal wound healing.
Choices B, C, and D are incorrect because they do not provide relevant or accurate information related to circumcision care.
Choice B refers to a potential sign of infection or poor circulation, not a routine post-circumcision finding.
Choice C inaccurately states the timing of Plastibell removal, which typically occurs after a few days, not 4 hours.
Choice D is unrelated to circumcision care and may cause discomfort if the diaper is too tight.