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 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is correct because diaphragms should be refitted periodically to ensure proper fit and effectiveness.
Choice B is incorrect because diaphragms should be left in place for at least 6 hours after intercourse, not 4.
Choice C is incorrect as oil-based lubricants can degrade the diaphragm material, so water-based lubricants should be used.
Choice D is incorrect because diaphragms should be stored dry, not in sterile water.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is D: Assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the pelvis and promoting the descent of the fetus. Moving the client onto their hands and knees (
A) may help in certain situations but is not as effective as D. Applying pressure to the fundus (
B) can cause complications. Pressing on the suprapubic area (
C) may not be helpful in this situation.
Therefore, option D is the most appropriate choice to assist in the birthing process.
Extract:
A nurse is administering a hepatitis B vaccine to a newborn.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the injection into the vastus lateralis muscle. This is the correct action because the vastus lateralis muscle is a common and safe site for intramuscular injections in adults. It has a relatively large muscle mass and is away from major nerves and blood vessels, reducing the risk of injury or complications. Massaging the site vigorously (choice
A) is not recommended as it can cause tissue damage and increase the risk of pain or bruising. Inserting the needle at a 45° angle (choice
B) is incorrect because the standard angle for intramuscular injections is 90°. Using a 21-gauge needle (choice
C) is not necessarily the best choice as needle gauge selection depends on factors such as patient age, body size, and medication viscosity.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is C: Close the newborn's eyes before applying eyepatches. This is important to prevent irritation and protect the newborn's eyes during the application of eyepatches. Closing the eyes reduces the risk of foreign particles entering the eyes. Providing glucose water (
A) is unnecessary and can lead to potential issues. Turning the newborn every 4 hours (
B) is a general care practice but not relevant to the specific scenario. Applying hydrating lotion (
D) before treatment is not necessary for applying eyepatches and may interfere with the adherence of the patches.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is option C: Evaluate urinary output. This is crucial post-surgery to assess renal function and fluid status, ensuring proper kidney function and hydration. Monitoring urinary output helps detect early signs of complications like acute kidney injury or fluid imbalance. Applying an ice pack (
A) may be indicated for pain management, but it does not address the immediate concern of renal function. Administering IV fluids (
B) without assessing the need based on urinary output can lead to fluid overload or dehydration. While replacing the surgical dressing (
D) is important for wound care, it is not the priority in this scenario.