ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 1 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 teaching about home safety with a client who is 2 days postpartum.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 3 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 because a client with a previous classical incision (vertical uterine incision) is at risk for uterine rupture during a contraction stress test due to the weakened uterine wall. A uterine rupture can lead to severe complications for both the mother and the baby. Clients with previous classical incisions should not undergo contraction stress tests.
Choice A is incorrect because a previous stillbirth is not a contraindication for a contraction stress test.
Choice C is incorrect as gestational diabetes mellitus alone is not a contraindication for the test.
Choice D is also incorrect as a nonreactive nonstress test does not directly contraindicate a contraction stress test.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 4 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 caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.