ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 2 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision has a contraindication for a contraction stress test due to the risk of uterine rupture. The classical incision is a vertical incision on the uterus, increasing the risk of uterine rupture during labor. This poses a significant danger during a contraction stress test, which involves inducing contractions to assess fetal well-being. Clients with gestational diabetes mellitus (choice
A), a history of stillbirth (choice
C), or a nonreactive nonstress test (choice
D) do not have contraindications for a contraction stress test. Gestational diabetes does not affect the safety of the test, while a previous stillbirth and a nonreactive nonstress test actually indicate a need for further assessment of fetal well-being.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 3 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: The correct answer is B: Facial palsy. Facial palsy is a common complication of the use of forceps during delivery. This occurs due to pressure on the facial nerve during the delivery process. Polycythemia (
A) is not typically associated with the birth method. Bronchopulmonary dysplasia (
C) is a lung disease that affects premature infants and is not directly related to the birth method. Hypoglycemia (
D) can occur in infants due to various reasons, but it is not specifically a complication of the birth method.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 4 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: The correct answer is B: Third-degree perineal laceration. This is a contraindication to using a suppository because the insertion of a suppository may cause further trauma or discomfort to the area, delaying the healing process and increasing the risk of infection. Vaginal candidiasis (choice
A) is not a contraindication as the suppository can actually be used to treat this condition. Abdominal distention (choice
C) and afterpains (choice
D) are not direct contraindications to using a suppository and can be managed separately.
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 5 of 5
Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client at 8 weeks gestation reporting severe vomiting first. This client could be suffering from hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances, posing a risk to both the mother and the fetus. Immediate assessment and intervention are crucial to prevent complications.
Choice A: Back pain following intercourse at 36 weeks gestation is common and usually not an urgent issue requiring immediate assessment.
Choice C: Frequent urination at 10 weeks gestation is a common symptom of early pregnancy and does not indicate an immediate need for assessment.
Choice D: Periodic tingling of the fingers at 24 weeks gestation could be due to carpal tunnel syndrome, which is common in pregnancy but does not require immediate assessment unless accompanied by other concerning symptoms.