ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.
Question 1 of 5
Which should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: Improvement in back labor is a direct indicator of the effectiveness of the hands-and-knees position in relieving discomfort associated with a fetus in the occipitoposterior position.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 2 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: Checking the client's serum medication level is the most direct and objective method to evaluate medication adherence. It provides a quantifiable measure of the digoxin level in the blood, indicating whether the client is taking the medication as prescribed.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 3 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.
Extract:
A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 4 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: Erythromycin ophthalmic ointment is administered to newborns to prevent neonatal conjunctivitis, also known as ophthalmia neonatorum, specifically for Neisseria gonorrhoeae infection prevention. If the guardian refuses the administration of erythromycin, the healthcare provider should respect the guardian's decision and document the refusal.
Extract:
A nurse is educating the parents of a newborn about the Plastibell circumcision technique.
Question 5 of 5
Which piece of information should the nurse include in the teaching?
Correct Answer: B
Rationale: Yellow exudate is a normal part of the healing process and will form at the surgical site within 24 hours after a Plastibell circumcision.