ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 1 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 2 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it shows an understanding of the teaching about the procedure not affecting ovulation. A: Incorrect, as the length of the menstrual period was not discussed. B: Incorrect, as premenstrual tension was not mentioned to change. C: Incorrect, as hormone replacements were not mentioned.
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. A client with a previous classical incision (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 4 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: C
Rationale:
Correct Answer: C - Oxygen saturation of 89%
Rationale: A newborn's oxygen saturation should ideally be above 95%. A level of 89% indicates hypoxemia, which can lead to serious complications like brain damage. Monitoring oxygen saturation is crucial in assessing the newborn's respiratory status.
Summary of other choices:
A: Apneic episode less than 15 seconds - Can be a normal finding in newborns and may not necessarily indicate a decline in status.
B: Fine crackles - Can be a common finding in newborns and may not directly indicate a decline in status.
D: Nasal flaring - Can be a sign of respiratory distress but may not always indicate a decline in status.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 5 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: The correct answer is C, F, and G.
C: Lateral deviation of the uterus indicates a possible uterine abnormality that needs immediate follow-up to prevent complications.
F: Soft breasts could be a sign of inadequate lactation or mastitis, requiring prompt intervention.
G: Large amount of lochia rubra suggests excessive postpartum bleeding, which is concerning and necessitates immediate attention.
Other choices are less urgent:
A: Peripheral edema and blood pressure within normal range are common postpartum findings.
D: Pain rating of 3 is mild and does not necessitate immediate follow-up.
E: Uterine tone being soft can be normal in the early postpartum period.