ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a patient who is 3 days postpartum.
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: Cool, clammy skin. This finding indicates possible signs of poor perfusion or shock, which require immediate attention. The other choices are within normal limits or expected postpartum findings. A: Heart rate 89/min is generally normal. C: BP 120/70 mm Hg is within normal range. D: Moderate lochia serosa is an expected finding in the postpartum period.
Therefore, B is the only abnormal finding that requires immediate reporting to the provider for further evaluation and intervention.
Extract:
A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.
Question 2 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 discussing fertility treatment options with a client and their partner.
Question 3 of 5
Which of the following non-pharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is because weight management plays a crucial role in overall health, including reducing the risk of various health conditions. Being overweight can contribute to a range of health issues, such as cardiovascular diseases and diabetes. The nurse should suggest maintaining a healthy weight to promote overall well-being.
Other choices are incorrect because:
A: Drinking herbal tea may have some benefits, but it is not a standard non-pharmacological treatment for a specific condition.
B: Taking daily hot baths may provide relaxation but is not a targeted treatment for any particular health issue.
D: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general non-pharmacological treatment suggestion.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 4 of 5
Using Nägele's Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele's Rule, the estimated date of delivery is calculated by adding 7 days to the first day of the last menstrual period and then counting forward 3 months. For choice C (17-May), adding 7 days to the first day of the last menstrual period gives 10-May. Counting forward 3 months from this date lands on 10-May, which makes 17-May the estimated date of delivery.
Choice A (13-May) is incorrect as it does not follow the calculation correctly.
Choice B (20-May) is incorrect as it does not align with the calculation based on Nägele's Rule.
Choice D (2-May) is incorrect as it is an earlier date than the calculated estimated date of delivery.
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: B
Rationale: The correct answer is B, to close the newborn's eyes before applying eyepatches. This is because closing the newborn's eyes before applying eyepatches helps to protect the eyes from irritation and ensures proper placement of the patches. Option A is incorrect as glucose water is not recommended for newborns after each feeding. Option C is incorrect as hydrating lotion may interfere with treatment or create a barrier for proper adhesion of medical devices. Option D is incorrect as turning the newborn every hour is not necessary and may disrupt their rest and sleep cycles.