ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is reviewing laboratory findings for a patient 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 should be reported to the provider because it is above the normal range, indicating hyperglycemia, which may require immediate intervention or adjustment of the treatment plan. Elevated blood glucose levels can lead to complications in diabetic patients.
A: WBC count of 11,000/mm³ is slightly elevated but not significantly outside the normal range, so it may not require immediate reporting unless other symptoms are present.
C: Hematocrit of 37% falls within the normal range, so it does not warrant immediate reporting.
D: Creatinine level of 0.9 mg/dL is within the normal range and does not require immediate reporting.
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 2 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.
Extract:
A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.
Question 3 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 should be reported to the provider because it is above the normal range, indicating hyperglycemia, which may require immediate intervention or adjustment of the treatment plan. Elevated blood glucose levels can lead to complications in diabetic patients.
A: WBC count of 11,000/mm³ is slightly elevated but not significantly outside the normal range, so it may not require immediate reporting unless other symptoms are present.
C: Hematocrit of 37% falls within the normal range, so it does not warrant immediate reporting.
D: Creatinine level of 0.9 mg/dL is within the normal range and does not require immediate reporting.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 4 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.
Extract:
A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.
Question 5 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Restrict daily oral fluid intake. In a scenario where fluid restriction is necessary, the nurse should plan to limit the patient's oral fluid intake to help manage a specific condition such as heart failure or kidney disease. This action helps prevent fluid overload, which can lead to complications like edema and worsening of the patient's condition. Assessing blood pressure (
B) is important but not the most relevant action in this context. Administering an IV bolus of lactated Ringer's (
A) is not appropriate without a specific indication. Obtaining a prescription for misoprostol (
D) is not relevant to fluid management.