ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and has a spontaneous rupture of membranes. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 1 of 5
After calling for help, which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Using fingers to exert upward pressure on the presenting part relieves umbilical cord compression, the immediate priority to prevent fetal hypoxia, unlike the other subsequent actions.
Extract:
A newborn who has jaundice and a new prescription for phototherapy.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, unlike the other options: frequent turning isn't needed, lotion blocks light, and glucose water isn't standard.
Extract:
A maternal unit policy to ensure proper identification of newborns.
Question 3 of 5
Which of the following should the nurse include in the policy?
Correct Answer: C
Rationale: Obtaining a foot imprint before nursery transfer is a reliable identification method, unlike the other options, which are less secure or unrelated to newborn identification.
Extract:
A client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 4 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a key sign of postpartum hemorrhage due to significant blood loss, especially after delivering a large newborn, which increases risk. The other findings are within normal postpartum ranges.
Extract:
A client who is in labor and has received epidural analgesia.
Question 5 of 5
Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: Hypotension is a common adverse effect of epidural analgesia due to sympathetic blockade, unlike the other normal or unrelated findings.