ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 1 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Labor induction with oxytocin increases the risk of postpartum hemorrhage due to uterine hyperstimulation leading to poor uterine muscle contractions.
D: History of uterine atony indicates weak uterine muscles, which can result in ineffective contraction post-delivery, leading to hemorrhage.
E: Vacuum-assisted delivery can cause trauma to the birth canal and uterus, increasing the risk of postpartum hemorrhage.
Summary of Incorrect
Choices:
A: Newborn weight is not a direct risk factor for postpartum hemorrhage.
B: History of human papillomavirus does not predispose to postpartum hemorrhage.
F, G: No information provided.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 2 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele’s Rule, we add 7 days to the first day of the last menstrual period, subtract 3 months, and then add 1 year. For example, if LMP is February 10, the estimated due date would be November 17.
Therefore, choice C (17-May) is the correct estimated date of delivery based on this rule.
Choices A (13-May) and B (20-May) are incorrect as they do not follow Nägele’s Rule calculations.
Choice D (3-May) is also incorrect as it does not account for the necessary calculations.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: A
Rationale: The correct answer is A: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and typically manifests with flank pain due to inflammation of the kidney tissue. This pain is often described as sharp and constant. Temperature elevation (choice
B) is a common symptom but not specific to pyelonephritis. Abdominal cramping (choice
C) is more commonly associated with gastrointestinal issues. Epigastric discomfort (choice
D) is usually linked to upper gastrointestinal problems. Flank pain is the most specific and characteristic finding of pyelonephritis, as it indicates involvement of the kidneys.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B because it addresses a potentially serious issue that requires immediate attention - dark red discoloration at the tip of the baby's penis could indicate compromised blood flow and potential necrosis. This information is crucial for the parent to be aware of to prevent any complications.
The other choices are incorrect because:
A: Yellow exudate forming at the surgical site in 24 hours is normal post-circumcision and does not warrant immediate notification to the provider.
C: Ensuring a snug diaper fit is important for comfort and preventing leakage, but it is not as critical as identifying signs of compromised blood flow.
D: The Plastibell is typically removed after a few days, not 4 hours after the procedure. Providing this misinformation could cause unnecessary concern for the parent.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 5 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: The correct answer is B: Jitteriness. Jitteriness is a common manifestation of hypoglycemia due to the brain not receiving enough glucose for energy. This can lead to shakiness, nervousness, and palpitations. Abdominal distention (choice
A) is not typically associated with hypoglycemia. Petechiae (choice
C) are tiny red or purple spots on the skin due to bleeding, not related to hypoglycemia. Increased muscle tone (choice
D) is not a common sign of hypoglycemia. By monitoring for jitteriness, the nurse can promptly recognize and address hypoglycemia in the patient.