ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Postpartum client at 4 weeks post-delivery asking about birth control.
Question 1 of 5
A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery. The client is asking about birth control options. What contraception option would you recommend as being the most reliable?
Correct Answer: C
Rationale: Hormonal implants are highly reliable due to continuous contraception with minimal user error.
Extract:
Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.
Question 2 of 5
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?
Correct Answer: D
Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.
Extract:
Client in labor at 39 weeks with oxytocin induction, uterine contractions every 2 minutes lasting 90 seconds, strong, FHR baseline 150/min with uniform decelerations at contraction peak.
Question 3 of 5
A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds each, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction, nadir after the peak of the contraction, and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discontinuing oxytocin is necessary due to tachysystole and fetal heart rate decelerations, reducing uterine hyperstimulation and improving fetal oxygenation.
Extract:
Client in labor at 39 weeks, maternal BP 128/88, FHR baseline 115 bpm, maternal heart rate 128 bpm, maternal respiratory rate 18/min.
Question 4 of 5
A nurse is caring for a client in labor at 39 weeks of gestation. Which of the following assessment findings requires follow-up?
Correct Answer: C
Rationale: A maternal heart rate of 128 bpm indicates tachycardia, which may suggest distress, infection, or dehydration, requiring follow-up.
Extract:
28-year-old, postpartum day 2, breastfeeding every 3-4 hours, nipple discomfort, no nipple trauma, breasts soft, newborn voided twice, three meconium stools.
Question 5 of 5
A nurse is caring for a 28-year-old postpartum female client in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,F
Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in indicate understanding of breastfeeding teaching.