ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
Correct Answer: A
Rationale: The correct answer is A: A client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping in early pregnancy can be a sign of ectopic pregnancy, miscarriage, or other complications requiring immediate attention. The nurse should see this client first to assess the situation and provide appropriate interventions.
Choice B is incorrect because tingling and numbness in the right hand is not typically an urgent issue in pregnancy.
Choice C is incorrect as constipation, while uncomfortable, is not an immediate concern that requires urgent attention.
Choice D is incorrect as bloody noses can be common in pregnancy due to increased blood volume and nasal congestion, but it does not require immediate attention unless severe or persistent.
Question 2 of 5
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
Correct Answer: A
Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can worsen with oxytocin administration due to increased uterine contractions. This can lead to fetal distress and hypoxia. Late decelerations are a sign to stop or decrease the oxytocin infusion and notify the provider. Moderate variability of the FHR (
B) is a reassuring sign of fetal well-being. Cessation of uterine dilation (
C) may indicate a stalled labor but is not a contraindication for initiating oxytocin. Prolonged active phase of labor (
D) may warrant oxytocin augmentation but is not a contraindication.
Question 3 of 5
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth because of mild respiratory distress. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify the newborn's identification. This should be the first action taken because ensuring the correct identification of the newborn is crucial for providing appropriate care. Incorrect identification could lead to serious consequences, such as administering medications or treatments to the wrong infant. Confirming the newborn's Apgar score (choice
A) or administering vitamin K (choice
C) can wait until the identification is verified. Determining obstetrical risk factors (choice
D) is important but not the immediate priority.
Question 4 of 5
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution. This is crucial because epidural anesthesia can cause hypotension, a common side effect. Monitoring the client's blood pressure closely allows for early detection of hypotension and prompt intervention to prevent potential complications like fetal distress. Placing the client in a supine position for 30 min (
A) is incorrect as it can lead to hypotension; administering dextrose solution (
B) is not necessary for epidural anesthesia; ensuring NPO status (
D) is important for other procedures but not specifically for epidural anesthesia.
Question 5 of 5
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
Correct Answer: B
Rationale: The correct answer is B: Chin quivering. Chin quivering is a common sign of pain in newborns. It indicates discomfort and distress. Decreased heart rate (choice
A), pinpoint pupils (choice
C), and slowed respirations (choice
D) are not typical signs of pain in newborns. Decreased heart rate may indicate relaxation, pinpoint pupils may suggest neurological issues, and slowed respirations may be a response to other factors.
Therefore, the most appropriate finding indicating pain in this scenario is chin quivering.