ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 1 of 5
Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?
Correct Answer: C
Rationale: The correct answer is C: "Do you notice increased cramping with breastfeeding?" This question is essential to determine if a PRN pain medication is needed as increased cramping during breastfeeding can indicate discomfort or pain, thus necessitating the use of pain medication. The other options are unrelated to pain assessment or pain management. Option A focuses on swelling, which does not directly relate to pain. Option B pertains to incision leakage, which is more related to wound care rather than pain assessment. Option D is about passing gas, which is not a relevant question when assessing the need for pain medication.
Therefore, option C is the most appropriate question to ask in this scenario to evaluate the need for PRN pain medication.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer broad-spectrum antibiotics. This action is appropriate for preventing or treating infection at the site. Povidone-iodine cleansing (
A) may be too harsh for the wound. Surgical closure (
C) should be based on wound assessment, not a fixed time frame. Monitoring rectal temperature (
D) is not directly related to wound care. The nurse should focus on infection prevention and treatment, making administering antibiotics the most appropriate choice.
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 3 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the client at 8 weeks of gestation reporting severe vomiting first as it may indicate hyperemesis gravidarum, a serious condition causing dehydration and electrolyte imbalances, risking maternal and fetal health. Severe vomiting can lead to complications like malnutrition and weight loss, affecting the developing fetus. Assessing this client first is crucial to provide immediate interventions and prevent further harm.
Other choices are less urgent: A - tingling fingers can be related to carpal tunnel syndrome common in pregnancy; B - back pain post-intercourse is common in late pregnancy due to pressure on the pelvis; D - frequent urination is a common early pregnancy symptom. These symptoms are not as concerning as severe vomiting, making choice C the priority.
Extract:
A nurse is preparing to obtain a blood sample from a newborn's heel.
Question 4 of 5
In what order should the nurse perform the procedure?
Order the Items
Source Container
Correct Answer: A, B, C, D, E
Rationale: The correct order for the nurse to perform the procedure is A, B, C, D, E. First, applying a warm cloth to the newborn's heel for 5 to 10 min helps dilate the blood vessels for easier blood collection. Second, cleaning the area with an antiseptic prevents infection during the puncture. Third, puncturing the outer aspect of the newborn's heel allows for blood collection. Fourth, collecting the blood specimen is the main objective of the procedure. Finally, applying pressure to the site with a dry gauze pad helps stop bleeding and promotes healing.
Choices F and G are not provided in the question, so they are not applicable.
Extract:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis.
Question 5 of 5
Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. This statement shows understanding as it highlights the importance of emptying the bladder before the procedure to prevent any discomfort or complications.
Choice B is incorrect because fasting for 24 hours is unnecessary and could be harmful.
Choice C is incorrect as the client is expected to be awake during the procedure.
Choice D is incorrect because the client may not necessarily be lying on their side.