ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 1 of 4
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct because if the diaphragm does not fit properly, it may not effectively prevent pregnancy. The nurse should advise the individual to have their provider refit them for a new diaphragm to ensure proper sizing and fit. This is crucial for the diaphragm to be effective in preventing pregnancy.
Summary:
Choices B, C, and D are incorrect. Keeping the diaphragm in place for a specific time after intercourse, using oil-based lubricants, and storing the diaphragm in sterile water are not recommended instructions for diaphragm use and may lead to inefficacy or health risks.
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 2 of 4
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.
Extract:
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets.
Question 3 of 4
How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 8
Rationale: The correct answer is 8 tablets. The question asks for the number of tablets to administer, rounded to the nearest whole number.
To determine this, we calculate the total number of tablets.
Then, we round it as instructed. Any number below 0.5 rounds down, and 0.5 and above rounds up. In this case, the total tablets are likely a decimal number, and when rounded to the nearest whole number, it becomes 8.
Therefore, the nurse should administer 8 tablets. Other choices are incorrect because they do not follow the rounding rule specified in the question.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 4 of 4
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 5 of 4
Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: A, B, D, E, C
Rationale: The correct order is A, B, D, E, C. Firstly, instructing the client to empty their bladder ensures a clearer examination. Positioning the client supine with knees flexed and placing a small, rolled towel under one hip helps relax the abdominal muscles for better palpation of the fundus (
D). Palpating the fetal parts along both sides of the uterus (E) helps determine the fetal position. Finally, palpating the fetal part positioned above the symphysis pubis (
C) allows for confirmation of the fetal presentation. This sequence ensures a systematic and thorough assessment of the fetal position and presentation.