ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 1 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene and preventing skin irritation. Washing with plain water is gentle and safe for a baby's delicate skin.
Choice A is incorrect as bathing immediately after feeding can lead to discomfort and potential choking hazards.
Choice B is incorrect as soft mattresses can increase the risk of Sudden Infant Death Syndrome (SIDS).
Choice D is incorrect as bumper pads pose a suffocation risk for infants.
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 3 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: The correct answer is D: Check the client's serum medication level. This is the best action to evaluate medication adherence because it directly measures the concentration of the medication in the client's bloodstream. If the medication level is within the therapeutic range, it indicates that the client is taking the medication as prescribed. If the level is too low or too high, it suggests non-adherence or potential issues with medication absorption or metabolism.
Choice A is incorrect as determining the client's apical pulse rate does not directly assess medication adherence.
Choice B is less reliable as clients may not always provide accurate information about their medication adherence.
Choice C is unrelated to evaluating medication adherence.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 4 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "The car seat should be positioned in the car at a 45-degree angle." This statement demonstrates an understanding of safe positioning for a car seat to protect the baby's airway and prevent slouching. Placing the car seat at a 45-degree angle helps keep the baby's head from falling forward, ensuring proper breathing.
Choice B is incorrect as a car seat challenge test is typically done in the hospital, not before discharge.
Choice C is incorrect because babies should remain rear-facing until at least 2 years old for optimal safety.
Choice D is incorrect because using bulky items like sleep sacks in the car seat can compromise the harness's effectiveness.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 5 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.