ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 1 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A: The client urinates 30 mL/hr. This finding indicates effective voiding as it shows the client is producing an adequate amount of urine, which is a sign of proper kidney function and bladder emptying. 30 mL/hr is within the normal range of urine output (0.5-1 mL/kg/hr).
Choices B, C, and D are incorrect because not feeling the urge to urinate, the uterine fundus position, and a distended bladder do not directly reflect the client's ability to void effectively.
Extract:
A client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 2 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: The correct answer is D: Contact. Contact isolation precautions are used to prevent the spread of infections that are transmitted by direct or indirect contact. This includes wearing gloves, gowns, and practicing proper hand hygiene. For this client, contact precautions are necessary to prevent transmission of infectious agents through direct physical contact or contact with contaminated surfaces. Droplet precautions (
A) are used for infections spread through respiratory droplets, airborne precautions (
B) are for infections transmitted through tiny particles in the air, and protective environment (
C) is used to protect immunocompromised patients from outside pathogens. In this case, contact precautions are the most appropriate to prevent the spread of infection.
Extract:
A client who is in labor and has received epidural analgesia.
Question 3 of 5
Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. This is a known adverse effect of epidural analgesia due to sympathetic blockade leading to vasodilation. It can cause decreased blood pressure and compromise perfusion. Polyuria is not a typical effect of epidural analgesia. Fetal heart rate and maternal temperature are not directly related to the adverse effects of epidural analgesia.
Extract:
A client who is taking an oral contraceptive.
Question 4 of 5
The nurse should instruct the client to report which of the following findings to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B: Persistent headaches. Headaches can indicate serious conditions like hypertension or preeclampsia, requiring immediate medical attention to prevent complications. Breast tenderness, vaginal itching, and painful intercourse are common discomforts during pregnancy but typically not urgent issues. Reporting persistent headaches promptly can ensure timely intervention and prevent potential risks to the client and fetus.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 5 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A because urinating 30 mL/hr indicates adequate urinary output, suggesting effective voiding. Option B is incorrect as lack of urge to urinate signifies potential urinary retention. Option C is unrelated to voiding effectiveness. Option D indicates a distended bladder, pointing to ineffective voiding.