ATI RN
ATI RN Maternal Newborn 2023 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: D
Rationale: The correct answer is D: Malodorous discharge. This finding is indicative of a possible vaginal infection, such as bacterial vaginosis or trichomoniasis. It suggests an overgrowth of harmful bacteria or yeast. Thick, white vaginal discharge (choice
A) is characteristic of a yeast infection. Vulva lesions (choice
B) may indicate an STD or skin condition. Urinary frequency (choice
C) is not typically associated with vaginal infections. In summary, malodorous discharge is the most concerning finding, as it signifies a possible infection, while the other choices are less specific or unrelated.
Extract:
A nurse is caring for a client who is 1 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: D
Rationale: The correct answer is D: Assess the newborn's latch while breastfeeding. This action is crucial as a proper latch is essential for effective breastfeeding, ensuring the baby receives enough milk and prevents nipple soreness. By assessing the latch, the nurse can identify and correct any issues early on, promoting successful breastfeeding.
A: Limiting breastfeeding time may hinder milk production and not address the root cause of latch issues.
B: Waiting 4 hours between feedings can lead to insufficient milk intake for the baby.
C: Offering supplemental formula can interfere with breastfeeding and reduce milk supply.
E, F, G: Irrelevant options.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: The correct answer is C, F, and G.
C: Lateral deviation of the uterus indicates a possible uterine abnormality that needs immediate follow-up to prevent complications.
F: Soft breasts could be a sign of inadequate lactation or mastitis, requiring prompt intervention.
G: Large amount of lochia rubra suggests excessive postpartum bleeding, which is concerning and necessitates immediate attention.
Other choices are less urgent:
A: Peripheral edema and blood pressure within normal range are common postpartum findings.
D: Pain rating of 3 is mild and does not necessitate immediate follow-up.
E: Uterine tone being soft can be normal in the early postpartum period.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 4 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 (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action allows the client to have mementos of their baby and aids in the grieving process. Providing photos can help the client in acknowledging the reality of the loss and facilitate closure.
A: Instructing the client that an autopsy should be performed within 24 hr is not within the nurse's scope of practice and may not be culturally or emotionally appropriate.
B: Informing the client that the law requires them to name the fetus is inaccurate and insensitive.
D: Limiting the amount of time the fetus is in the client's room may not align with the client's emotional needs and can be perceived as callous.