ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 1 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 assessing a newborn who was born postterm.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Nails extending over tips of fingers. This finding indicates clubbing, a condition associated with chronic hypoxia. Clubbing is characterized by the enlargement and flattening of the fingertips, causing the nails to extend over the fingertips. This can be seen in conditions such as chronic respiratory diseases or heart defects, where there is long-term oxygen deprivation. Large deposits of subcutaneous fat (
A) are not typically related to clubbing. Pale, translucent skin (
C) may suggest anemia or dehydration but is not directly related to clubbing. A thin covering of fine hair on shoulders and back (
D) is known as lanugo, which is commonly seen in newborns or individuals with eating disorders, and is not associated with clubbing.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 3 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: B
Rationale: The correct answer is B: "How much protein do you eat in a day?" This question is important for assessing the client's overall dietary intake, as protein is a crucial macronutrient for health. By asking about protein intake, the nurse can evaluate if the client is meeting their nutritional needs. Other choices are incorrect as they do not directly relate to assessing dietary intake.
Choice A focuses only on meat consumption, which is limited in scope.
Choice C is specific to Vitamin C, not overall dietary intake.
Choice D is about shellfish, which is too narrow. By asking about protein intake, the nurse can gather valuable information to assess the client's dietary habits comprehensively.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 4 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 assessing a client who is 3 days postpartum.
Question 5 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.