ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client 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, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen at 10 L/min via nonrebreather facemask. This action is necessary to ensure adequate oxygenation and prevent hypoxia after discontinuing the infusion. High-flow oxygen via a nonrebreather mask can help maintain oxygen saturation levels and support the client's respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion.
Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful.
Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 2 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 5 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision has a contraindication for a contraction stress test due to the risk of uterine rupture. The classical incision is a vertical incision on the uterus, increasing the risk of uterine rupture during labor. This poses a significant danger during a contraction stress test, which involves inducing contractions to assess fetal well-being. Clients with gestational diabetes mellitus (choice
A), a history of stillbirth (choice
C), or a nonreactive nonstress test (choice
D) do not have contraindications for a contraction stress test. Gestational diabetes does not affect the safety of the test, while a previous stillbirth and a nonreactive nonstress test actually indicate a need for further assessment of fetal well-being.