ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 1 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 2 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 3 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes induced by the medication.
Extract:
A nurse is assessing a patient who is 3 days postpartum.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Cool, clammy skin can be a sign of shock or other serious conditions such as hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues.
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 5 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: A previous classical incision is a contraindication for a contraction stress test due to the risk of uterine rupture.