ATI RN
ATI RN Maternal Newborn 2023 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 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale:
Correct Answer: C - "You should have your provider refit you for a new diaphragm."
Rationale: It is important for the nurse to instruct the patient to have their provider refit them for a new diaphragm because diaphragms need to be properly fitted to ensure effectiveness in contraception. Over time, the size and shape of the cervix can change, which may affect the fit of the diaphragm. It is recommended to have the diaphragm refitted after significant weight change, pregnancy, childbirth, or every 2-3 years. This ensures that the diaphragm continues to provide optimal protection against pregnancy.
Summary of Incorrect
Choices:
A: Using an oil-based lubricant can damage the diaphragm. Water-based lubricants are recommended.
B: The diaphragm should be kept in place for at least 6 hours, not 4 hours, after intercourse.
D: Diaphragms should be stored in a cool, dry place, not sterile
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 2 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision has a contraindication for a contraction stress test due to the risk of uterine rupture. The classical incision is a vertical incision on the uterus, increasing the risk of uterine rupture during labor. This poses a significant danger during a contraction stress test, which involves inducing contractions to assess fetal well-being. Clients with gestational diabetes mellitus (choice
A), a history of stillbirth (choice
C), or a nonreactive nonstress test (choice
D) do not have contraindications for a contraction stress test. Gestational diabetes does not affect the safety of the test, while a previous stillbirth and a nonreactive nonstress test actually indicate a need for further assessment of fetal well-being.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential in the plan of care to treat a suspected infection. Antibiotics can target a wide range of bacteria, covering potential pathogens until specific cultures can identify the causative organism. Cleansing the site with povidone-iodine (
B) is important for local hygiene but does not address systemic infection. Monitoring rectal temperature (
C) is a good assessment measure but does not actively treat infection. Preparing for surgical closure after 72 hr (
D) may be necessary but does not address the immediate need to manage infection.
Extract:
A nurse is caring for a newborn who is 5 days old. Medical History: History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: The correct actions for the nurse to take are A, F, and G.
- A: Maintaining a low stimulation environment is important for newborns to promote rest and decrease stress.
- F: Weighing the newborn daily helps monitor their growth and detect any potential issues early.
- G: Swaddling the newborn with flexed extremities can provide comfort and mimic the womb environment, helping to soothe the baby.
Other choices are incorrect:
- B: Naloxone is not routinely administered to newborns unless specific circumstances warrant it.
- C: Breastfeeding is typically encouraged unless contraindicated by specific circumstances.
- D: Eye contact during feeding is important for bonding and communication between the parent and newborn.
- E: Performing Ballard newborn screening each shift is not necessary and may cause unnecessary stress to the newborn.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 5 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of plant-based protein and fortified with essential nutrients like calcium and vitamin D, crucial for bone health. This is important for individuals who may have dietary restrictions or are lactose intolerant. Raw carrots (
A) are a good source of vitamins but may not provide enough protein. Brown rice (
B) is a healthy carbohydrate but lacks essential nutrients found in fortified soy milk. Fresh citrus fruits (
C) are rich in vitamin C but do not offer the same level of protein and nutrients as soy milk.