ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Newborn delivered by vaginal birth with vacuum assist, swollen area on head
Question 1 of 5
A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Caput succedaneum, caused by delivery pressure, crosses suture lines and resolves quickly, unlike cephalhematoma.
Extract:
Question 2 of 5
A nurse is preparing to administer Ringer's lactate by continuous IV infusion at 120 mL/hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 120
Rationale: Using the formula (mL/hr x drop factor) / 60 = (120 x 60) / 60 = 120 gtt/min, the rate is correctly calculated.
Extract:
Client is postpartum with boggy fundus displaced to the right
Question 3 of 5
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Correct Answer: D
Rationale: A boggy, displaced fundus suggests a full bladder, which can be alleviated by voiding to promote uterine contraction.
Extract:
Parent of a newborn
Question 4 of 5
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?
Correct Answer: C
Rationale: Removing extra blankets reduces the risk of SIDS by preventing suffocation hazards.
Extract:
Client reports unrelieved episiotomy pain 8 hr following a vaginal birth
Question 5 of 5
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: An ice pack reduces swelling and pain in the perineum within the first 24 hours post-birth.