ATI RN Maternal Newborn 2023 II

Extract:

A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.

Question 1 of 5

Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

Correct Answer: C

Rationale:
Rationale: The nurse should ask about the improvement in back labor as it directly evaluates the effectiveness of the intervention related to back pain relief. Contractions, pelvic pressure, and suprapubic pain are not directly related to back labor.
Therefore, asking about back labor improvement is the most relevant way to assess the intervention's success.

Extract:

A nurse is discussing fertility treatment options with a client and their partner.

Question 2 of 5

Which of the following nonpharmacological treatments should the nurse suggest?

A. Take daily hot baths. B. Use a lubricant during intercourse. C. Maintain a healthy weight. D. Drink herbal tea two times daily.

Correct Answer: C

Rationale: The correct answer is C: Maintain a healthy weight. This is because maintaining a healthy weight can have a significant impact on overall health and can help manage various health conditions, including improving symptoms related to certain diseases. Obesity can exacerbate health issues, so suggesting weight management is crucial. Hot baths (
A) may provide temporary relief but do not address the root cause. Using a lubricant during intercourse (
B) may help with comfort but does not address nonpharmacological treatment. Drinking herbal tea (
D) may have some benefits but is not a primary treatment for most conditions.

Extract:

A nurse in a prenatal clinic is caring for a group of clients.

Question 3 of 5

The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?

A. A client who had a previous stillbirth B. A client who has a previous classical incision C. A client who has gestational diabetes mellitus D. A client who had a nonreactive nonstress test

Correct Answer: B

Rationale: The correct answer is B because a client with a previous classical incision (vertical uterine incision) is at risk for uterine rupture during a contraction stress test due to the weakened uterine wall. A uterine rupture can lead to severe complications for both the mother and the baby. Clients with previous classical incisions should not undergo contraction stress tests.

Choice A is incorrect because a previous stillbirth is not a contraindication for a contraction stress test.
Choice C is incorrect as gestational diabetes mellitus alone is not a contraindication for the test.
Choice D is also incorrect as a nonreactive nonstress test does not directly contraindicate a contraction stress test.

Extract:

A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.

Question 4 of 5

Which of the following findings indicates that the client should be referred to a registered dietician?

A. The client reports a 4 kg (10 lb) weight gain since their positive pregnancy test. B. The client reports that they eat prunes to help manage their constipation. C. The client reports that they take a multivitamin daily. D. The client reports that they are nauseous most mornings.

Correct Answer: A

Rationale: The correct answer is A because a 4 kg (10 lb) weight gain since a positive pregnancy test can indicate potential issues with nutrition during pregnancy, such as excessive weight gain or inadequate nutrient intake. This finding suggests the need for specialized dietary guidance from a registered dietitian.
Choice B is incorrect as eating prunes for constipation is a common dietary practice and does not necessarily require a dietician referral.
Choice C indicates the client is taking a multivitamin, which is generally a positive health behavior but does not alone warrant a dietitian referral.
Choice D of experiencing morning nausea is common in pregnancy and does not directly relate to needing dietitian intervention.

Extract:

A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client is multigravida and multipara with no history of GBS.

Question 5 of 5

She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?

A. You didn't report any symptoms of GBS during your pregnancy.' B. Your previous deliveries were all negative for GBS.' C. There was no indication of GBS in your earlier prenatal testing.' D. We need to know if you are positive for GBS at the time of delivery.'

Correct Answer: D

Rationale: The correct answer is D because testing for Group B Streptococcus (GBS) is typically done closer to the time of delivery to determine the current status of GBS colonization, which can change throughout pregnancy. Testing earlier may not accurately reflect the GBS status at delivery.
Choice A is incorrect as the presence of symptoms is not always indicative of GBS colonization.
Choice B is incorrect as GBS status can change between pregnancies.
Choice C is incorrect because previous prenatal testing does not guarantee GBS status at delivery.

ATI RN Maternal Newborn 2023 II | Nurselytic

Nurselytic

ATI RN

ATI RN