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 following a forceps-assisted birth.
Question 2 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: A
Rationale: The correct answer is A: Facial palsy. Facial palsy can occur as a complication of birth trauma, particularly during a difficult delivery such as forceps or vacuum extraction. This can lead to injury of the facial nerve, resulting in weakness or paralysis of the facial muscles. Polycythemia (
B) is an increased number of red blood cells, not typically associated with birth method. Bronchopulmonary dysplasia (
C) is a lung condition primarily seen in premature infants requiring prolonged mechanical ventilation. Hypoglycemia (
D) is low blood sugar levels and can be caused by various factors unrelated to birth method.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 3 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Breast tenderness is a common adverse effect of hormonal medications like oral contraceptives. It occurs due to hormonal fluctuations and can be bothersome for some individuals. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with the side effects of oral contraceptives. Tinnitus is more commonly associated with ototoxic medications, urinary frequency may be seen with diuretics, and chills could be a sign of infection or cold exposure.
Therefore, the nurse should include breast tenderness as a potential adverse effect in the teaching plan.
Extract:
A nurse is obtaining a 2-hr postprandial blood glucose from a client.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Select the lateral side of the finger for puncture. This is because the lateral side has fewer nerve endings, making it less painful for the patient. Puncturing the finger on the lateral side also helps to avoid the central pad where blood flow is better. Holding the finger above the heart (choice
B) is incorrect as it can increase blood flow and dilute the sample. Smearing blood onto the reagent strip (choice
C) is incorrect as it can lead to inaccurate results. Puncturing the finger while still damp with antiseptic solution (choice
D) is incorrect as it can contaminate the blood sample.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Cool, clammy skin. This finding indicates poor perfusion and potential hypoperfusion, which are critical conditions requiring immediate medical attention. Cool, clammy skin can be a sign of decreased blood flow and oxygen delivery to tissues. It suggests a possible decrease in cardiac output or circulation. Reporting this finding promptly to the healthcare provider is crucial for timely intervention to prevent further complications.
Choices A and B are within normal ranges for heart rate and blood pressure.
Choice D, moderate lochia serosa, is a normal postpartum finding as long as it is not excessive or accompanied by other concerning symptoms.