ATI RN
ATI RN Maternal Newborn 2023 II 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: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.
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 2 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, we add 7 days to the first day of the last menstrual period, subtract 3 months, and then add 1 year. For example, if LMP is February 10, the estimated due date would be November 17.
Therefore, choice C (17-May) is the correct estimated date of delivery based on this rule.
Choices A (13-May) and B (20-May) are incorrect as they do not follow Nägele’s Rule calculations.
Choice D (3-May) is also incorrect as it does not account for the necessary calculations.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 3 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting.
Question 4 of 5
Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Consume foods served at cool temperatures. This recommendation is appropriate for individuals experiencing nausea because cold foods are less likely to trigger nausea compared to hot or warm foods. Cold foods can help soothe the stomach and reduce feelings of nausea. Brushing teeth after each meal (choice
B) is not relevant to addressing nausea. Drinking plenty of water when feeling nauseated (choice
C) can sometimes exacerbate nausea. Eating three large meals per day (choice
D) can overload the digestive system and worsen nausea. It's important to choose light, easily digestible foods at cooler temperatures when experiencing nausea.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D) for a patient. This is because misoprostol is commonly prescribed in obstetric practice for various indications, such as induction of labor, management of postpartum hemorrhage, and treatment of incomplete abortion. Anticipating this prescription allows the nurse to be prepared for the medication administration process, including understanding the dosage, route of administration, potential side effects, and monitoring requirements.
Choice A is incorrect as obtaining a specimen for a Kleihauer-Betke test is not the immediate action required based on the scenario provided.
Choice B, administering betamethasone IM, is also incorrect as it is not the appropriate action indicated in the situation described.
Choice C, avoiding performing sterile vaginal examinations, is not relevant to the given scenario and does not address the patient's immediate needs.