ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client 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: D
Rationale: Applying upward pressure relieves cord compression, the priority in cord prolapse, before other interventions.
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 2 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: D
Rationale: Maintaining a healthy weight improves fertility by regulating hormones. Hot baths reduce sperm count, lubricants can impair sperm motility, and herbal tea lacks evidence for fertility.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. Medical History: Gravida 2 Para 1 Preeclampsia.
Question 3 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: C
Rationale: Positive clonus indicates worsening preeclampsia due to neurologic irritability; low platelets and proteinuria are also concerning but clonus is more acute.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 4 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: A firm fundus post-misoprostol indicates improvement in uterine tone, reducing hemorrhage; low BP suggests ongoing bleeding but firmness is the goal.
Extract:
A nurse is caring for a term newborn who is 48 hr old. Physical Examination: High-pitched cry, Mild tremors when disturbed, Increased muscle tone, Sneezing six times within 1 hr, Excessive sucking, Color: Consistent with genetic background, Excoriation of the chin, Watery stools, Projectile vomiting, Hyperactive Moro reflex.
Question 5 of 5
The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: A continuous high-pitched cry suggests worsening neonatal abstinence syndrome, indicating increased irritability.