ATI RN
ATI RN Maternal Newborn Latest Update. Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Anticipate a prescription for misoprostol.
Rationale: Misoprostol is a prostaglandin E1 analog that helps to contract the uterus and control bleeding in cases of uterine atony postpartum. Administering misoprostol can help to improve uterine tone and reduce excessive bleeding.
Incorrect
Choices:
A: Administering betamethasone is used to promote fetal lung maturity in preterm labor, not for managing postpartum hemorrhage.
B: Sterile vaginal examinations should be performed to assess the cause of bleeding, avoiding them can delay appropriate interventions.
D: Obtaining a Kleihauer-Betke test is used to determine the amount of fetal-maternal hemorrhage, but it is not a priority action in managing uterine atony and bleeding.
Question 2 of 5
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
Correct Answer: D
Rationale: The correct answer is D because a dark red appearance at the end of the baby's penis could indicate infection or poor circulation, which are concerns post-circumcision. The nurse should instruct parents to notify the provider immediately if they observe this change to ensure prompt assessment and treatment.
Choice A is incorrect as the Plastibell is typically removed within 5-8 days, not 4 hours post-procedure.
Choice B is incorrect because a snug diaper can cause discomfort and interfere with healing.
Choice C is incorrect as yellow exudate is not a typical finding at the surgical site in 24 hours post-circumcision.
Question 3 of 5
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. At 12 weeks of gestation, amniocentesis is typically performed to detect genetic abnormalities, not to determine the sex of the fetus. This procedure involves collecting a sample of amniotic fluid to analyze the chromosomes for conditions like Down syndrome. Option A is incorrect as age is not a factor in determining the need for amniocentesis. Option C is incorrect because chorionic villus sampling is used for genetic testing, not determining the sex of the baby. Option D is incorrect because scheduling the procedure without addressing the client's request for sex determination is inappropriate.
Question 4 of 5
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Postpartum endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is characteristic of endometritis and requires immediate attention.
A: Temperature of 37.4°C is within normal range.
B: WBC count of 9,000/mm3 is within normal limits and may not indicate infection.
D: Scant lochia does not specifically indicate endometritis.
Therefore, the presence of uterine tenderness is the most significant finding in this scenario.
Question 5 of 5
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen at 10 L/min via nonrebreather facemask. Late decelerations in fetal heart rate (FHR) during oxytocin infusion indicate uteroplacental insufficiency. Administering oxygen helps increase oxygen delivery to the fetus, improving oxygenation and reducing the risk of fetal distress. Instructing the client to push (choice
A) may worsen fetal distress. Placing the client in a supine position (choice
C) can further compromise blood flow to the placenta. Initiating an amnioinfusion (choice
D) is not indicated for late decelerations.