ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 1 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because positioning the car seat at a 45-degree angle is crucial for the safety of the baby. This angle helps prevent the baby's head from falling forward and restricting their airway.
Choices A, B, and C are incorrect because a car seat challenge test is not related to understanding teaching, using a sleep sack in a car seat may compromise safety, and turning the car seat forward before the recommended age is unsafe.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. In infants, excessive crying can be a sign of discomfort or illness, indicating the need for further assessment by the nurse. Absent Moro reflex (
A) is abnormal and indicates neurological issues. Diminished deep tendon reflexes (
C) and decreased muscle tone (
D) can also be concerning neurological findings. However, excessive crying is a more immediate and urgent concern that requires prompt evaluation and intervention.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 3 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Labor induction with oxytocin increases the risk of postpartum hemorrhage due to uterine hyperstimulation leading to poor uterine muscle contractions.
D: History of uterine atony indicates weak uterine muscles, which can result in ineffective contraction post-delivery, leading to hemorrhage.
E: Vacuum-assisted delivery can cause trauma to the birth canal and uterus, increasing the risk of postpartum hemorrhage.
Summary of Incorrect
Choices:
A: Newborn weight is not a direct risk factor for postpartum hemorrhage.
B: History of human papillomavirus does not predispose to postpartum hemorrhage.
F, G: No information provided.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 4 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Using Nägele’s Rule, we add 7 days to the first day of the last menstrual period, subtract 3 months, and then add 1 year. For example, if LMP is February 10, the estimated due date would be November 17.
Therefore, choice C (17-May) is the correct estimated date of delivery based on this rule.
Choices A (13-May) and B (20-May) are incorrect as they do not follow Nägele’s Rule calculations.
Choice D (3-May) is also incorrect as it does not account for the necessary calculations.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: A
Rationale: The correct answer is A: Flank pain. Pyelonephritis is an infection of the kidneys, causing inflammation and typically manifests with flank pain due to inflammation of the kidney tissue. This pain is often described as sharp and constant. Temperature elevation (choice
B) is a common symptom but not specific to pyelonephritis. Abdominal cramping (choice
C) is more commonly associated with gastrointestinal issues. Epigastric discomfort (choice
D) is usually linked to upper gastrointestinal problems. Flank pain is the most specific and characteristic finding of pyelonephritis, as it indicates involvement of the kidneys.