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: The correct answers are A and C. A flaccid uterus indicates a lack of uterine tone, which can lead to postpartum hemorrhage. Administering oxytocin helps to stimulate contractions, restoring uterine tone and reducing bleeding. Excess vaginal bleeding is also an indication for oxytocin as it helps to control bleeding by promoting uterine contractions.
Choices B, D, and the remaining options do not directly relate to the need for oxytocin administration in postpartum care. A cervical laceration would require appropriate wound management, and increased afterbirth cramping may not necessarily warrant oxytocin administration unless coupled with other signs of uterine atony.
Question 2 of 5
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Headache that is unrelieved by analgesia. This symptom could indicate a serious condition like preeclampsia, a potentially life-threatening pregnancy complication. The nurse should instruct the client to report this immediately to the provider for further evaluation and management. Shortness of breath when climbing stairs (
A), swelling of feet and ankles at the end of the day (
B), and Braxton Hicks contractions (
D) are common occurrences in pregnancy and not usually indicative of immediate complications.
Therefore, they do not require urgent reporting compared to the unrelieved headache as mentioned in choice C.
Question 3 of 5
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Staff members who take care of your baby will be wearing a photo identification badge." This statement promotes security and safety by ensuring that only authorized personnel are handling the newborn. It helps prevent unauthorized individuals from accessing the baby. The photo identification badge serves as visual confirmation of the staff members' credentials and authority. This measure enhances the client's peace of mind and trust in the healthcare team.
Other choices are incorrect:
A: Carrying the baby to the nursery for procedures may not guarantee security as it could expose the baby to unnecessary risks.
B: Documenting visitor relationships is important but does not directly address the safety and security of the newborn.
C: Sharing a bed with the baby can increase the risk of accidental suffocation or other sleep-related risks.
Overall, choice D is the most direct and effective way to ensure the security and safety of the newborn.
Question 4 of 5
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding may indicate a serious condition called preeclampsia, characterized by high blood pressure and protein in the urine, posing risks to both the mother and baby. Reporting this promptly allows for timely management and monitoring.
Incorrect choices:
B: Varicose veins in the calves are common in pregnancy due to increased blood volume and pressure on veins, usually not an urgent concern.
C: Nonpitting 1+ ankle edema is a mild swelling often seen in pregnancy, which is typically expected and not alarming at this stage.
D: Hyperpigmentation of the cheeks, known as melasma or "mask of pregnancy," is a common cosmetic change in pregnancy, not requiring immediate medical attention.
Question 5 of 5
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A. At 26 weeks of gestation, newborns are expected to have minimal arm recoil based on the New Ballard Score, as their muscle tone is typically low. This indicates immaturity and aligns with the developmental stage of a premature infant. The other choices are incorrect because: B: A popliteal angle of 90° is more indicative of a term infant. C: Creases over the entire foot sole are also seen in term infants, not premature infants. D: Raised areolas with 3 to 4 mm buds are associated with breast development in term infants, not preterm infants.