ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen via a face mask increases maternal oxygen saturation, improving fetal oxygenation in response to late decelerations, which indicate fetal hypoxia.
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 2 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).
Question 3 of 5
What should the nurse anticipate?
Correct Answer: D
Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 4 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 5 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.