ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assist the client in pulling their knees toward their abdomen. The McRoberts maneuver involves flexing the client's hips by bringing their knees towards their abdomen. This action helps to widen the pelvic outlet, allowing the baby's shoulder to disengage from the pubic bone and facilitate delivery. Applying pressure to the fundus (choice
A) is not indicated in managing shoulder dystocia. Pressing firmly on the suprapubic area (choice
B) may not effectively resolve the shoulder dystocia. Moving the client onto their hands and knees (choice
C) may not be as effective as the McRoberts maneuver in relieving shoulder dystocia.
Therefore, assisting the client in pulling their knees towards their abdomen is the most appropriate action in this scenario.
Question 2 of 5
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: The correct answer is C: Assist the client to empty their bladder. The palpation of the uterus above the umbilicus indicates uterine atony, a potential complication post-vaginal delivery. A full bladder can displace the uterus further, exacerbating the issue. Emptying the bladder helps the uterus contract and prevents excessive bleeding. Reassessing the client in 2 hours (
A) delays necessary intervention. Administering simethicone (
B) is for gas relief and not relevant here. Instructing the client to lie on their right side (
D) does not address the root cause.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring?
Correct Answer: A
Rationale: The correct answer is A: Oligohydramnios. Electronic fetal monitoring is used to assess the well-being of the fetus during pregnancy. Oligohydramnios, which is a low level of amniotic fluid, can indicate poor fetal perfusion and compromise, necessitating closer monitoring. Hyperemesis gravidarum (
B) is severe morning sickness and does not directly affect fetal well-being. Leukorrhea (
C) is normal vaginal discharge during pregnancy and does not require fetal monitoring. Periodic tingling of the fingers (
D) is unrelated to fetal assessment.
Question 4 of 5
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?
Correct Answer: B
Rationale: The correct answer is B: May 17. Nägele's Rule adds 7 days to the first day of the last menstrual period (August 10), then subtracts 3 months and adds 1 year. So, August 10 + 7 days = August 17. Subtracting 3 months gives us May 17, which is the estimated date of delivery.
Choice A (May 13) is incorrect because it doesn't account for adding the additional 7 days.
Choice C (May 3) is incorrect because it miscalculates the subtraction of 3 months.
Choice D (May 20) is incorrect as it adds the 7 days but doesn't subtract 3 months.
Question 5 of 5
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
Correct Answer: A, B, C, D
Rationale:
To perform Leopold maneuvers on a client at 36 weeks gestation, the nurse should follow these steps:
A) Instruct the client to empty their bladder to provide better visualization and palpation of the uterus.
B) Position the client supine with knees flexed and place a small, rolled towel under one of their hips to enhance comfort and relaxation.
C) Palpate the fetal part positioned in the fundus to determine the presentation and position of the baby.
D) Palpate the fetal parts along both sides of the uterus to assess for consistency and location. These steps ensure accurate assessment of fetal position and presentation.
Choices E, F, and G are not applicable in the Leopold maneuvers sequence and do not contribute to the accurate assessment of the fetus.