ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
Correct Answer: A,C
Rationale:
Correct Answer: A, C
Rationale:
A: Flaccid uterus indicates uterine atony, a common postpartum complication causing excessive bleeding. Oxytocin helps contract the uterus, reducing bleeding.
C: Excess vaginal bleeding is a sign of postpartum hemorrhage. Oxytocin helps by stimulating uterine contractions to control bleeding.
B: Cervical laceration doesn't directly relate to oxytocin administration. It requires repair and not oxytocin.
D: Increased afterbirth cramping is a normal response after delivery, not a direct indication for oxytocin.
Question 2 of 5
A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Initiate seizure precautions. Neonatal abstinence syndrome can lead to seizures due to withdrawal from substances. Initiating seizure precautions involves ensuring a safe environment, padding the crib, and monitoring closely for any signs of seizure activity. Monitoring blood glucose every hour (
A) is unnecessary unless there are specific indications. Placing the infant on his back with legs extended (
B) is not directly related to managing neonatal abstinence syndrome. Providing a stimulating environment (
D) can exacerbate symptoms and should be avoided.
Question 3 of 5
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. This is important to protect the newborn's eyes from the bright light used during phototherapy, which can cause damage if exposure is prolonged. Closing the eyes with eyepatches helps prevent potential eye damage.
A: Providing glucose water is not relevant to the care of a newborn with jaundice undergoing phototherapy.
B: Turning the newborn every 4 hours is a general care practice but not specific to managing jaundice and phototherapy.
C: Applying hydrating lotion is not necessary for phototherapy and may interfere with the treatment process.
E, F, G: Not provided, as they are not relevant to the question at hand.
Question 4 of 5
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Decreased platelet count. In ITP, the immune system attacks and destroys platelets, leading to a low platelet count (thrombocytopenia). This can result in increased bleeding tendencies.
B: Increased ESR is not typically associated with ITP.
C: Decreased megakaryocytes is not expected in ITP as these are the precursors of platelets.
D: Increased WBC is not a characteristic finding in ITP.
Therefore, the nurse should expect a decreased platelet count in a client with postpartum ITP.
Extract:
A nurse is caring for a client who is pregnant in an antepartum clinic.
Vital Signs
0900:
Temperature 36.6°C (97.9°F)
Heart rate 88/min
Respiratory rate 18/min
Blood pressure 130/70 mm Hg
Oxygen saturation 97% on room air
1000:
Heart rate 76/min
Respiratory rate 20/min
Blood pressure 138/68 mm Hg
Oxygen saturation 98% on room air
Question 5 of 5
Which of the following findings should the nurse report to the provider?Select the 3 findings that should be reported.
Correct Answer: A,B,D
Rationale: The nurse should report uterine contractions (
A) as they can indicate preterm labor. Fetal heart rate (
B) should be reported to monitor fetal well-being. Vaginal examination (
D) findings are important to assess cervical changes. Gestational age (
C) and maternal blood pressure (E) are routine assessments and do not necessarily require immediate reporting.