ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Turning to a side-lying position (preferably left) improves blood flow and corrects hypotension from epidural anesthesia. Other actions don't address this cause.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 2 of 5
Which of the following instructions should the nurse offer?
Correct Answer: D
Rationale: Feeding every 2-3 hours meets newborn nutritional needs. Two to four wet diapers is too few (expect 6+), 5-10 minutes per breast is insufficient, and water isn't needed.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client, who is multigravida and multipara with no history of GBS, asks the nurse why the test was not conducted earlier in her pregnancy.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Testing at 36-37 weeks determines GBS status at delivery, critical for preventing neonatal infection. Earlier status can change, and symptoms or past history don't dictate timing.
Extract:
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10.
Question 4 of 5
Using Nägele's Rule, what is the patient's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule: Add 7 days to August 10 (August 17), subtract 3 months (May 17), and add 1 year if crossing years. The correct date is May 17, 2025, assuming the current year aligns with the question context.
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.