ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is providing teaching to the guardians of a preterm newborn about temperature instability.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct statement is A because preterm newborns have less muscle tone, making them more susceptible to heat loss. This is due to their underdeveloped thermoregulatory mechanisms. Shivering (
B) is not a common response in newborns and is more likely to be seen in adults. Sweating (
C) is also not a common response in newborns as their sweat glands are not fully developed. Brown fat (
D) is essential for thermoregulation in newborns and helps them stay warm, not overheat.
Therefore, A is the correct statement as it directly addresses the vulnerability of preterm newborns to heat loss due to their low muscle tone.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 2 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress 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 caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to turn the client to a side-lying position (
Choice
A) to prevent aspiration in case of vomiting. This position helps maintain airway patency and facilitates drainage.
Choice B is incorrect as it does not address immediate risks.
Choice C is not a priority unless the client is hypoxic.
Choice D is contraindicated in the immediate postpartum period. No further choices provided.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding indicates hyperglycemia, which can be a sign of diabetes or other underlying health issues requiring immediate attention. The nurse should report this to the provider for further evaluation and management to prevent complications.
A: WBC count 11,000/mm3 - Slightly elevated WBC count is common and may not warrant immediate reporting unless there are other concerning symptoms.
C: Hematocrit 37% - Falls within normal range and does not indicate any immediate issues.
D: Creatinine 0.9 mg/dL - Normal creatinine levels suggest healthy kidney function and do not require urgent reporting.
In summary, the nurse should report the high fasting blood glucose level as it signifies a potential health problem that needs prompt attention, while the other choices fall within normal ranges and do not require immediate reporting.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is option C: Evaluate urinary output. This is crucial post-surgery to assess renal function and fluid status, ensuring proper kidney function and hydration. Monitoring urinary output helps detect early signs of complications like acute kidney injury or fluid imbalance. Applying an ice pack (
A) may be indicated for pain management, but it does not address the immediate concern of renal function. Administering IV fluids (
B) without assessing the need based on urinary output can lead to fluid overload or dehydration. While replacing the surgical dressing (
D) is important for wound care, it is not the priority in this scenario.