ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is attending to a newborn who was delivered at 39 weeks of gestation and is now 36 hours old. The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool yet.
Question 1 of 5
Which of the following observations should the nurse report to the provider?
Correct Answer: D
Rationale: The nurse should report intake and output to the provider because it reflects the patient's fluid balance and kidney function, which are crucial for overall health. Changes in intake and output may indicate dehydration, kidney problems, or other issues requiring medical attention. Glucose level, head assessment findings, and respiratory rate are important observations but may not always require immediate provider notification. Sclera color may provide information about liver function but is not as urgent as intake and output in most cases.
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 2 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: The correct answer is D: A client who has a previous classical incision. This client has a contraindication for a contraction stress test due to the risk of uterine rupture at the site of the classical incision during labor contractions. The other choices are incorrect because:
A: Gestational diabetes mellitus does not directly contraindicate a contraction stress test.
B: A previous stillbirth is not a direct contraindication for the test.
C: A nonreactive nonstress test may indicate the need for further evaluation but does not contraindicate a contraction stress test.
Extract:
A nurse in the emergency department is caring for a 19-year-old patient who is at 18 weeks of gestation. The patient presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. The patient states that they have been unable to retain even clear fluids for the past 48 hours. The patient reports no pain. The patient reports a history of migraines and asthma.
Question 3 of 5
What condition is the patient most likely experiencing?
Correct Answer: B
Rationale: The patient is most likely experiencing Hyperemesis Gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because it is crucial to have the diaphragm refitted by the provider periodically to ensure proper fit and effectiveness. This is important because changes in weight, childbirth, or pelvic surgery can affect the fit of the diaphragm.
Choice A is incorrect because storing the diaphragm in sterile water after each use is not necessary and may lead to contamination.
Choice B is incorrect as oil-based vaginal lubricants can degrade latex diaphragms, reducing their effectiveness.
Choice C is incorrect because the diaphragm should be kept in place for at least 6-8 hours after intercourse, not just 4 hours.
Extract:
A nurse is assessing a patient who is 3 days postpartum.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool, clammy skin. This finding indicates possible signs of poor perfusion or shock, which require immediate attention. The other choices are within normal limits or expected postpartum findings. A: Heart rate 89/min is generally normal. C: BP 120/70 mm Hg is within normal range. D: Moderate lochia serosa is an expected finding in the postpartum period.
Therefore, B is the only abnormal finding that requires immediate reporting to the provider for further evaluation and intervention.