ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 1 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: Clomiphene citrate, used to stimulate ovulation, commonly causes breast tenderness due to hormonal changes. The other effects are not typically associated with this medication.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 2 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: Lateral deviation, large lochia rubra, and soft uterus suggest uterine atony and potential hemorrhage, requiring urgent intervention.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Vital Signs: Blood Pressure 130/72 mm Hg, Heart rate 90/min, Respiratory rate 18/min, Temperature 37°C (98.6°F).
Question 3 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: B
Rationale: Redness in the extremity indicates worsening DVT due to inflammation; leukocytosis and tachycardia are nonspecific, while decreased edema suggests improvement.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 4 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Fortified soy milk provides vitamin B12, essential for vegans, as explained in Q2.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The McRoberts maneuver involves flexing the client's hips to widen the pelvis and relieve shoulder dystocia.