ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client in active labor
Question 1 of 5
A nurse is preparing to administer an opioid analgesic to a client who is in active labor. Which of the following assessments should the nurse perform? (Select all that apply.)
Correct Answer: A,B
Rationale: Blood pressure and fetal heart rate monitoring are essential to detect opioid-related hypotension or fetal distress.
Extract:
Question 2 of 5
A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Methadone is safe for breastfeeding, providing benefits like bonding and antibody transfer to the infant.
Extract:
Client in active labor, scheduled for epidural anesthesia
Question 3 of 5
A nurse is caring for a client who is in active labor and is scheduled to receive epidural anesthesia. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A fluid bolus prevents hypotension from epidural-induced vasodilation.
Extract:
Newborn exposed to active genital herpes simplex virus during birth
Question 4 of 5
A nurse is planning care for a newborn who was exposed to active genital herpes simplex virus (HSV) during birth. Which of the following nursing actions should the nurse anticipate?
Correct Answer: D
Rationale: Surface cultures detect HSV presence, guiding antiviral treatment to prevent complications.
Extract:
Client 2 hr post-vaginal delivery, increasing perineal pain and pressure
Question 5 of 5
A nurse is caring for a client who had a vaginal delivery 2 hr ago and is reporting increasing perineal pain and pressure. The nurse examines the client's perineum and sees a 4 cm (1.6 in) area of purplish discoloration with swelling. The nurse should interpret these findings as which of the following?
Correct Answer: A
Rationale: A hematoma is indicated by localized purplish swelling, likely due to trauma during delivery.