ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Postpartum client with no immunity to rubella, received rubella immunization
Question 1 of 5
A nurse is providing discharge teaching to a postpartum client who had no immunity to rubella and received the rubella immunization. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Rubella immunization is safe for breastfeeding, with no impact on milk safety, supporting continued breastfeeding.
Extract:
Client in active labor
Question 2 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:
32-year-old female at 28 weeks gestation, mild contractions
Question 3 of 5
A nurse on an antepartum unit is caring for a 32-year-old female client at 28 weeks gestation. For each potential intervention, click to specify if the intervention is anticipated or contraindicated for the client.
| Potential Intervention | Anticipated | Contraindicated |
|---|---|---|
| Administration of IV fluids | ||
| Continuous monitoring of FHR | ||
| Abdominal ultrasound | ||
| Digital cervical exam to assess dilation and effacement | ||
| Laboratory testing: CBC, Blood Type & Rh, Coagulation Studies | ||
| Placement of an internal fetal spiral electrode | ||
| Administration of betamethasone |
Correct Answer: A,B,C,E,G
Rationale: IV fluids, FHR monitoring, ultrasound, lab tests, and betamethasone are anticipated; cervical exams and internal electrodes are contraindicated to avoid infection or unnecessary invasiveness.
Extract:
32-year-old female post-emergency cesarean birth
Question 4 of 5
A nurse is caring for a female client, 32 years old, in the postpartum unit following an emergency cesarean birth. Based on the assessment findings, the nurse identifies that the client is at greatest risk for developing __ and __.
Correct Answer: A,B
Rationale: Prolonged rupture of membranes and moderate lochia increase infection and hemorrhage risks.
Extract:
Client in active labor with back labor pains
Question 5 of 5
A nurse is assessing a client who is in active labor. The client reports back labor pains. Which of the following nonpharmacological interventions should the nurse provide to manage the client's pain?
Correct Answer: C
Rationale: Sacral counterpressure directly relieves back labor pain by counteracting discomfort in the sacral area.