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 is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 2 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. This is a common adverse effect of hormonal medications, such as oral contraceptives. Breast tenderness occurs due to hormonal changes affecting breast tissue. Chills (
B) are not typically associated with hormonal medications. Tinnitus (
C) is a ringing in the ears, which is not a common side effect of oral contraceptives. Urinary frequency (
D) is also not a typical adverse effect of hormonal medications. Breast tenderness is a known side effect and should be included in patient education.
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 3 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: Rationale for choice C: Asking how much protein the client eats in a day assesses the client's overall dietary intake and can provide valuable information about their nutritional status. Protein is an essential macronutrient, and inadequate intake can lead to various health issues. By inquiring about protein consumption, the nurse can evaluate if the client is meeting their nutritional needs.
Rationale for other choices:
A: Asking about the last time the client ate meat is specific and may not give a comprehensive picture of their overall dietary habits.
B: Asking if the client has considered eating shellfish is too specific and does not address their current dietary intake.
D: Inquiring about a Vitamin C supplement is not directly related to assessing the client's overall dietary intake.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action allows the client to have mementos of their baby and aids in the grieving process. Providing photos can help the client in acknowledging the reality of the loss and facilitate closure.
A: Instructing the client that an autopsy should be performed within 24 hr is not within the nurse's scope of practice and may not be culturally or emotionally appropriate.
B: Informing the client that the law requires them to name the fetus is inaccurate and insensitive.
D: Limiting the amount of time the fetus is in the client's room may not align with the client's emotional needs and can be perceived as callous.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.