ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is experiencing infertility and is requesting in vitro fertilization.
Question 1 of 5
Which of the following information should the nurse provide to the client?
Correct Answer: B
Rationale: The correct answer is B: Inform the client about the possible need for the reduction of multiple fetuses. This information is crucial in cases of multiple pregnancies to ensure the client is aware of the potential risks and options available. Reduction of multiple fetuses may be necessary for the health and safety of both the mother and babies. Providing this information allows the client to make informed decisions regarding their pregnancy.
Choices A, C, and D are incorrect because they do not address the specific concern of managing multiple pregnancies or the potential need for fetal reduction. It is important for the nurse to prioritize relevant and essential information for the client's understanding and decision-making process.
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 2 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: The estimated date of delivery in the next year can be determined by looking for the last day of March, which is 31st. Since 28-Mar is the closest to the end of March, it is the correct answer.
Choice B, 21-Mar, is too early in March.
Choice C, 4-Apr, is in April.
Choice D, 14-Mar, is also too early in March.
Choices E, F, and G are not provided.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 3 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A: The client urinates 30 mL/hr. This finding indicates effective voiding as it shows the client is producing an adequate amount of urine, which is a sign of proper kidney function and bladder emptying. 30 mL/hr is within the normal range of urine output (0.5-1 mL/kg/hr).
Choices B, C, and D are incorrect because not feeling the urge to urinate, the uterine fundus position, and a distended bladder do not directly reflect the client's ability to void effectively.
Question 4 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A because urinating 30 mL/hr indicates adequate urinary output, suggesting effective voiding. Option B is incorrect as lack of urge to urinate signifies potential urinary retention. Option C is unrelated to voiding effectiveness. Option D indicates a distended bladder, pointing to ineffective voiding.
Extract:
A client who is in labor.
Question 5 of 5
The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via a face mask. Late decelerations indicate uteroplacental insufficiency, causing fetal hypoxia. Administering oxygen improves oxygenation to the fetus by increasing maternal oxygen levels. Placing the client in a side-lying position helps improve uteroplacental perfusion. Decreasing IV fluids may further compromise perfusion. Fetal scalp stimulation is used for non-reassuring fetal heart rate patterns, not specifically for late decelerations. Elevating the client's head does not directly address the fetal distress.