ATI RN
ATI RN Maternal Newborn 2023 II Questions
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 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is D: Assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the pelvis and promoting the descent of the fetus. Moving the client onto their hands and knees (
A) may help in certain situations but is not as effective as D. Applying pressure to the fundus (
B) can cause complications. Pressing on the suprapubic area (
C) may not be helpful in this situation.
Therefore, option D is the most appropriate choice to assist in the birthing process.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." This is correct because diaphragms should be refitted periodically to ensure proper fit and effectiveness.
Choice B is incorrect because diaphragms should be left in place for at least 6 hours after intercourse, not 4.
Choice C is incorrect as oil-based lubricants can degrade the diaphragm material, so water-based lubricants should be used.
Choice D is incorrect because diaphragms should be stored dry, not in sterile water.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer broad-spectrum antibiotics. This action is appropriate for preventing or treating infection at the site. Povidone-iodine cleansing (
A) may be too harsh for the wound. Surgical closure (
C) should be based on wound assessment, not a fixed time frame. Monitoring rectal temperature (
D) is not directly related to wound care. The nurse should focus on infection prevention and treatment, making administering antibiotics the most appropriate choice.
Extract:
A nurse is providing information about newborn security to the parents of a newborn.
Question 4 of 5
Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: The correct answer is D: Check identification badges of staff who enter your room. This instruction is crucial for the safety and security of both the mother and newborn, ensuring only authorized personnel have access. Limiting visitors (
A) and removing monitoring bands (
C) can compromise safety. Sending the newborn to the nursery (
B) may hinder bonding and breastfeeding. The other choices are irrelevant as they do not address the security aspect.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene without the risk of irritation from harsh chemicals. Other choices are incorrect: A may increase the risk of suffocation, C can be a suffocation hazard, and D can lead to discomfort and reflux.