ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 1 of 5
What instructions should the nurse include?
Correct Answer: C
Rationale: Feeding at least every 3 hours ensures adequate nutrition and stimulates milk production, appropriate for breastfeeding discharge teaching.
Extract:
A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed.
Question 2 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: B
Rationale: Urinating 30 ml/h meets the minimum acceptable output, indicating effective voiding post-catheter removal.
Extract:
A nurse is caring for a client who is experiencing an amniotic fluid embolism during labor.
Question 3 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Preparing for CPR is critical as amniotic fluid embolism can lead to cardiac and respiratory failure, a life-threatening emergency.
Extract:
A 32-year-old female in postpartum unit, cesarean birth due to preeclampsia, given misoprostol, pale, dizzy, cool/clammy skin, no urine since medication.
Question 4 of 5
The nurse is assessing the client 1 hour later. How should the nurse interpret the findings?
Findings | condition improving | condition worsening | unrelated to the diagnosis |
---|---|---|---|
Fundus 2 cm above umbilicus | |||
BP 90/60, | |||
HR 110/min | |||
Heavy bleeding | |||
Dizziness | |||
Cloudy urine |
Correct Answer:
Rationale: Fundus 2 cm above, HR 110/min, heavy bleeding, dizziness worsening (hemorrhage); BP 90/60 improving (post-preeclampsia); cloudy urine unrelated.
Extract:
A nurse is caring for a client who is in labor.
Question 5 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.