ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 1 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: The correct answer is C. Asking about the amount of protein eaten in a day is important to assess the client's overall dietary intake, as protein is a crucial macronutrient for body function. This question helps the nurse evaluate if the client is meeting their protein needs for optimal health.
A: The question about the last time meat was eaten is specific and limited to one food item, not providing a comprehensive assessment of dietary intake.
B: Inquiring about Vitamin C supplement intake focuses on a single nutrient and does not give a holistic view of the client's overall diet.
D: Asking about shellfish is too specific and may not provide a broad understanding of the client's dietary habits.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Providing the client with photos of the fetus can be a helpful part of the grieving process, based on the family's wishes.
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 caring for a newborn immediately following birth.
Question 4 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A. Delaying the instillation of antibiotic ophthalmic ointment helps facilitate bonding between the newborn and parent. This is important because the initial moments after birth are crucial for establishing a strong emotional connection between the newborn and the parent, which can have long-lasting positive effects on the child's development.
Choices B, C, and D are incorrect because the weight of the newborn, identifying infection, and mode of delivery do not directly impact the need to delay the instillation of the ointment for bonding purposes.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 5 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: The correct answer is A: Check the client's serum medication level. By checking the serum medication level, the nurse can directly measure the amount of medication in the client's bloodstream, providing objective evidence of medication adherence. This method is more reliable than asking the client (choice
C) or assessing unrelated parameters like apical pulse rate (choice
B) or kidney function (choice
D). Checking the serum medication level gives a concrete assessment of the client's adherence, helping the nurse make informed decisions about the client's treatment plan.