ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 1 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 2 of 5
What clinical findings should the nurse report?
Correct Answer: C
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine isn't typically assessed at admission, subconjunctival hemorrhage is benign, and transient circumoral cyanosis is normal if brief.
Extract:
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Closing the eyes before applying eyepatches protects them from phototherapy light. Turning isn't critical, lotion blocks light, and glucose water isn't indicated.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cool sitz bath soothes the perineal area, reduces inflammation, and promotes healing for a fourth-degree laceration. Warm compresses may increase swelling, methylergonovine is for uterine bleeding, and povidone-iodine isn't standard care here.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client, who is multigravida and multipara with no history of GBS, asks the nurse why the test was not conducted earlier in her pregnancy.
Question 5 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Testing at 36-37 weeks determines GBS status at delivery, critical for preventing neonatal infection. Earlier status can change, and symptoms or past history don't dictate timing.