ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a patient who is at 20 weeks of gestation and has trichomoniasis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Malodorous discharge. This finding suggests a possible infection, such as bacterial vaginosis or trichomoniasis. Malodor indicates an imbalance in vaginal flora, requiring further assessment and treatment. Thick, white discharge (
A) is characteristic of a yeast infection. Vulva lesions (
B) may indicate a sexually transmitted infection or dermatological issue. Urinary frequency (
D) could indicate a urinary tract infection but is not specific to vaginal health.
Choices E, F, G are not provided, but without additional information, they are irrelevant to the question.
Extract:
A nurse is caring for a client who is one day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. This is important to ensure proper attachment and effective milk transfer, preventing nipple soreness and inadequate milk supply. Option A is incorrect as limiting breastfeeding time can hinder milk production. Option C is incorrect as newborns need frequent feedings. Option D is incorrect as offering formula can interfere with establishing breastfeeding.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Administer broad-spectrum antibiotics. This action is important in preventing infection post-surgery. Antibiotics help to target a wide range of potential pathogens that could cause infection, reducing the risk of complications. Monitoring the rectal temperature every 4 hours (
B) may be necessary but does not directly address infection prevention. Cleaning the site with povidone-iodine (
A) is important for cleanliness but does not prevent infection as effectively as antibiotics. Preparing for surgical closure after 72 hours (
C) is a timing issue and does not directly impact infection prevention.
Extract:
A nurse is caring for a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 5 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C because performing a vaginal examination by applying upward pressure on the presenting part helps assess the progress of labor and fetal descent, which is crucial in determining the need for immediate intervention or transfer. Initiating an infusion of IV fluids (
A) is not the next step as the priority is to assess the progress of labor first. Administering oxygen (
B) may be important but not the immediate next step after notifying the provider. Performing a vaginal examination (
C) is more critical in this situation. Covering the umbilical cord with a sterile saline towel (
D) is not necessary at this point.