ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client 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: B
Rationale: The correct answer is B: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. Malodor suggests an overgrowth of harmful bacteria or other pathogens in the vaginal flora. Vulva lesions (
A) may indicate a different issue like herpes or genital warts. Urinary frequency (
C) is more common in conditions like urinary tract infections. Thick, white vaginal discharge (
D) is typical of a yeast infection, not necessarily malodorous. In summary, malodorous discharge is the most concerning finding as it suggests an active infection requiring prompt evaluation and treatment.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Cool, clammy skin. This finding indicates poor perfusion and potential hypoperfusion, which are critical conditions requiring immediate medical attention. Cool, clammy skin can be a sign of decreased blood flow and oxygen delivery to tissues. It suggests a possible decrease in cardiac output or circulation. Reporting this finding promptly to the healthcare provider is crucial for timely intervention to prevent further complications.
Choices A and B are within normal ranges for heart rate and blood pressure.
Choice D, moderate lochia serosa, is a normal postpartum finding as long as it is not excessive or accompanied by other concerning symptoms.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 3 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: C
Rationale:
Correct Answer: C. Third-degree perineal laceration is a contraindication to the use of a suppository due to the risk of causing further trauma and infection. Suppositories are typically inserted rectally, and in the case of a third-degree perineal laceration, there is a significant risk of exacerbating the injury and delaying healing.
Incorrect
Choices:
A: Vaginal candidiasis - This is not a contraindication as suppositories can be used in the vagina for treating candidiasis.
B: Afterpains - Afterpains are not a contraindication for the use of a suppository.
D: Abdominal distention - Abdominal distention is not a direct contraindication to the use of a suppository unless it is due to a specific condition that may be worsened by the suppository.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding indicates hyperglycemia, which can be a sign of diabetes or other underlying health issues requiring immediate attention. The nurse should report this to the provider for further evaluation and management to prevent complications.
A: WBC count 11,000/mm3 - Slightly elevated WBC count is common and may not warrant immediate reporting unless there are other concerning symptoms.
C: Hematocrit 37% - Falls within normal range and does not indicate any immediate issues.
D: Creatinine 0.9 mg/dL - Normal creatinine levels suggest healthy kidney function and do not require urgent reporting.
In summary, the nurse should report the high fasting blood glucose level as it signifies a potential health problem that needs prompt attention, while the other choices fall within normal ranges and do not require immediate reporting.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. In infants, excessive crying can be a sign of discomfort or illness, indicating the need for further assessment by the nurse. Absent Moro reflex (
A) is abnormal and indicates neurological issues. Diminished deep tendon reflexes (
C) and decreased muscle tone (
D) can also be concerning neurological findings. However, excessive crying is a more immediate and urgent concern that requires prompt evaluation and intervention.