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 receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Epidural opioids can cause vasodilation, leading to a drop in blood pressure. This can result in hypotension, which the nurse should monitor for due to the risk of complications. Hyperglycemia (
A), bilateral crackles (
B), and polyuria (
D) are not typically associated with epidural opioids. Hyperglycemia is more commonly linked to stress or certain medications. Bilateral crackles suggest pulmonary issues, not related to epidural opioids. Polyuria is excessive urine production, not a common adverse effect of epidural opioids.
Question 2 of 5
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: C
Rationale: The correct answer is C: Maintain a healthy weight. This is crucial for fertility as being underweight or overweight can affect hormone levels and ovulation. Healthy weight promotes overall reproductive health.
Choice A is incorrect as some lubricants can hinder sperm movement.
Choice B has no proven benefit for fertility.
Choice D can actually reduce sperm count due to increased testicular temperature.
Question 3 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a 16-hour-old newborn can indicate respiratory distress, which requires immediate attention. Retractions occur when the skin pulls in between the ribs or under the rib cage with each breath, suggesting difficulty breathing. This finding is crucial to report promptly to the provider to ensure the newborn receives appropriate intervention and support. The other choices are incorrect:
B) Acrocyanosis is a common finding in newborns and is due to immature circulation.
C) Overlapping suture lines are normal in newborns and typically resolve over time.
D) A head circumference of 33 cm is within the normal range for a newborn.
Question 4 of 5
A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: D
Rationale: The correct answer is D: Facial palsy. Forceps-assisted birth can lead to pressure on the facial nerve, resulting in facial nerve injury and facial palsy in the newborn. This can manifest as weakness or paralysis of facial muscles. Polycythemia (
A) is not typically associated with forceps-assisted birth. Hypoglycemia (
B) may occur due to various reasons but is not directly related to the birth method. Bronchopulmonary dysplasia (
C) is a lung condition often seen in premature infants on long-term ventilation. In summary, facial palsy is a potential complication of forceps-assisted birth due to nerve compression, while the other options are less likely to be directly linked to this birth method.
Question 5 of 5
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
Correct Answer: C
Rationale: The correct answer is C: Administer Rho(
D) immune globulin. This is the priority intervention because the client is Rh-negative, and an amniocentesis can lead to fetal-maternal blood incompatibility. Administration of Rho(
D) immune globulin helps prevent the mother from developing antibodies against Rh-positive fetal blood cells, reducing the risk of hemolytic disease in the fetus. Checking the client's temperature (
A) is important but not the priority immediately following an amniocentesis. Observing for uterine contractions (
B) is not the priority unless there are signs of preterm labor. Monitoring the FHR (
D) is essential but not the priority immediately post-amniocentesis.