ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client following a vaginal delivery of a term fetal demise.
Question 1 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You can bathe and dress your baby if you'd like to." This statement empowers the parent to make choices regarding caring for their baby, promoting autonomy and bonding. It fosters a sense of control and involvement in the care process.
Choice B is incorrect as it assumes the parent wants another baby, which may not be the case and can be insensitive.
Choice C is incorrect as it implies that not holding the baby will make it harder to let go, which may not be true for everyone and can induce guilt.
Choice D is incorrect as naming the baby is a personal decision and should not be dictated by others.
Extract:
A client about the purpose of her upcoming indirect Coombs' test.
Question 2 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 newborn.
Question 3 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: B
Rationale: The correct answer is B: IM in the left vastus lateralis. The nurse should choose this route for administration of the medication because the vastus lateralis muscle is a recommended site for intramuscular injections due to its size and low risk of injury to nerves and blood vessels. IM injections in this site allow for the medication to be absorbed into the bloodstream more quickly compared to subcutaneous injections. Subcutaneous injections (choices A and
D) are typically used for medications that require slower absorption. IM in the right deltoid (choice
C) may cause injury to the radial nerve. As for the blank options, since they are not provided, we cannot assess their appropriateness.
Extract:
A client who delivered by cesarean birth 6 hr ago.
Question 4 of 5
The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer's IV bolus. This action is necessary to address potential hypovolemia due to the steady vaginal bleeding. Lactated Ringer's solution helps restore intravascular volume and maintain perfusion. Evaluating urinary output (
A) is important but not the priority when immediate action is needed. Replacing the surgical dressing (
B) is not the first step in managing ongoing bleeding. Applying an ice pack to the incision site (
C) is not indicated and may not address the underlying issue.
Extract:
A client who is pregnant.
Question 5 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: B
Rationale: The correct answer is B: Previous cervical cerclage. This procedure is done to prevent preterm birth in women with a history of cervical insufficiency. The placement of a cervical cerclage indicates a higher risk for preterm delivery compared to the other options. A: Previous delivery at 37 weeks gestation is not indicative of a higher risk for preterm delivery. C: Previous reactive non-stress test is a normal finding in prenatal care and does not necessarily indicate preterm delivery risk. D: Previous delivery of a newborn weighing 2.5 kg is not a strong predictor of preterm delivery risk.