ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who has chosen a diaphragm for birth control.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Insert the diaphragm up to 6 hr before intercourse. This instruction is correct because diaphragms should be inserted at least 6 hours before intercourse to allow time for it to be effective in preventing pregnancy. Removing it too soon after intercourse (choice
A) would not provide adequate protection. Washing the diaphragm with detergent soap (choice
C) can damage the diaphragm and increase the risk of infection. Applying a vaginal lubricant (choice
D) may interfere with the diaphragm's effectiveness and should be avoided.
Extract:
A client who is at 35 weeks of gestation.
Question 2 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: C
Rationale: The correct answer is C. The reason further testing is needed when there are three fetal movements perceived by the client in a 20-minute period is that fetal movement assessment is crucial for assessing fetal well-being. A decrease or absence of fetal movements can indicate fetal distress, prompting the need for further evaluation to ensure the well-being of the fetus. In contrast, options A, B, and D describe normal or reassuring findings within the parameters of fetal heart rate monitoring and contractions, indicating fetal well-being. Option A shows a reassuring acceleration in fetal heart rate, option B indicates absence of late decelerations, and option D describes contractions that are not concerning if not felt by the client.
Extract:
A newborn who is 2 hr old.
Question 3 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct indications of hypoglycemia are jitteriness (
B), hypotonia (
D), and temperature instability (E). Jitteriness is a common sign of low blood sugar levels. Hypotonia refers to decreased muscle tone, often seen in infants with hypoglycemia. Temperature instability can occur due to the body's inability to regulate temperature when glucose levels are low. Abdominal distention (
A) and acrocyanosis (
C) are not typical signs of hypoglycemia and are more likely associated with other conditions.
Extract:
A newborn.
Question 4 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: B
Rationale: The correct answer is B: IM in the left vastus lateralis. The nurse should choose this route for administration of the medication because the vastus lateralis muscle is a recommended site for intramuscular injections due to its size and low risk of injury to nerves and blood vessels. IM injections in this site allow for the medication to be absorbed into the bloodstream more quickly compared to subcutaneous injections. Subcutaneous injections (choices A and
D) are typically used for medications that require slower absorption. IM in the right deltoid (choice
C) may cause injury to the radial nerve. As for the blank options, since they are not provided, we cannot assess their appropriateness.
Extract:
A client who has a placenta previa.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Painless, vaginal bleeding. This finding is indicative of placenta previa, a condition where the placenta partially or completely covers the cervix, leading to painless vaginal bleeding. Uterine hypertonicity (
A) suggests uterine hyperstimulation, not typically associated with placenta previa. Persistent headache (
B) is more commonly seen in conditions like preeclampsia. A firm, rigid abdomen (
C) is characteristic of uterine rupture, not placenta previa. In summary, painless vaginal bleeding is a key sign of placenta previa, distinguishing it from the other options.