ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 1 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: This medication prevents seizures. This is the appropriate response because it directly relates to the action of the medication, which is likely an antiepileptic drug. Seizure prevention is a common indication for such medications in various clinical settings.
Choices A, C, and D are incorrect because they do not align with the typical action of a medication used to prevent seizures.
Choice A is more related to medications that increase heart function, choice C to medications affecting fetal heart rate, and choice D to medications improving blood flow. It is important for a nurse to provide accurate and relevant information to ensure patient safety and optimal outcomes.
Extract:
A postpartum client who delivered vaginally 8 hr ago.
Question 2 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: B,C,D
Rationale: The correct findings that require immediate follow-up are B: Lateral deviation of the uterus, C: Large amount of lochia rubra, and D: Uterine tone soft. Lateral deviation of the uterus could indicate a uterine anomaly or complication post-delivery. Large amount of lochia rubra may suggest excessive bleeding, which needs to be assessed promptly. Soft uterine tone can be a sign of uterine atony, a serious postpartum complication. Peripheral edema, soft breasts, low deep tendon reflexes, and mild pain rating do not typically require immediate intervention or follow-up.
Extract:
A client about the purpose of her upcoming indirect Coombs' test.
Question 3 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct statement to include in the teaching is B: "This test will detect the presence of Rh-positive antibodies in your blood." This is the correct answer because it pertains to the purpose of the test, which is to identify Rh incompatibility between the mother and fetus. Detecting Rh-positive antibodies is crucial to prevent hemolytic disease of the newborn. The other options are incorrect because A refers to an amniotic fluid index test, C relates to a test for gestational diabetes, and D describes a Doppler ultrasound for evaluating fetal blood flow.
Therefore, B is the most relevant statement for the teaching regarding Rh testing during pregnancy.
Extract:
A client who is taking an oral contraceptive.
Question 4 of 5
The nurse should instruct the client to report which of the following findings to the provider immediately?
Correct Answer: B
Rationale: The correct answer is B: Persistent headaches. Headaches can indicate serious conditions like hypertension or preeclampsia, requiring immediate medical attention to prevent complications. Breast tenderness, vaginal itching, and painful intercourse are common discomforts during pregnancy but typically not urgent issues. Reporting persistent headaches promptly can ensure timely intervention and prevent potential risks to the client and fetus.
Extract:
A client who is in labor.
Question 5 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: The correct answer is B. An urge to have a bowel movement during contractions should prompt the nurse to reassess the client because it could indicate the need to push, which could lead to premature delivery. This finding can signal the need for further evaluation to prevent complications. Intense contractions lasting 45 to 60 seconds (
A) are normal during labor. A sense of excitement and warm, flushed skin (
C) can be a normal response to the labor process. Progressive sacral discomfort during contractions (
D) is common due to pressure on the sacrum during labor.