ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 1 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 providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 2 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. This statement shows understanding as it highlights the importance of emptying the bladder before the procedure to prevent any discomfort or complications.
Choice B is incorrect because fasting for 24 hours is unnecessary and could be harmful.
Choice C is incorrect as the client is expected to be awake during the procedure.
Choice D is incorrect because the client may not necessarily be lying on their side.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client is multigravida and multipara with no history of GBS.
Question 3 of 5
She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: The correct answer is D because testing for Group B Streptococcus (GBS) is typically done closer to the time of delivery to determine the current status of GBS colonization, which can change throughout pregnancy. Testing earlier may not accurately reflect the GBS status at delivery.
Choice A is incorrect as the presence of symptoms is not always indicative of GBS colonization.
Choice B is incorrect as GBS status can change between pregnancies.
Choice C is incorrect because previous prenatal testing does not guarantee GBS status at delivery.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 4 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to turn the client to a side-lying position (
Choice
A) to prevent aspiration in case of vomiting. This position helps maintain airway patency and facilitates drainage.
Choice B is incorrect as it does not address immediate risks.
Choice C is not a priority unless the client is hypoxic.
Choice D is contraindicated in the immediate postpartum period. No further choices provided.