ATI RN
ATI RN Maternal Newborn 2023 Exam 4 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 a nonrebreather face mask. This action is indicated to provide adequate oxygenation to the client after discontinuing the infusion. Oxygen therapy helps prevent hypoxia, a common complication post-infusion. Option B is incorrect as it is not relevant to the situation. Option C, initiating amnioinfusion, is not indicated after discontinuing an infusion. Option D, placing the client in a supine position, may not be appropriate and can lead to complications like hypotension.
Extract:
A nurse is assessing a patient who is 3 days postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool, clammy skin. This finding indicates possible signs of poor perfusion or shock, which require immediate attention. The other choices are within normal limits or expected postpartum findings. A: Heart rate 89/min is generally normal. C: BP 120/70 mm Hg is within normal range. D: Moderate lochia serosa is an expected finding in the postpartum period.
Therefore, B is the only abnormal finding that requires immediate reporting to the provider for further evaluation and intervention.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 3 of 5
How should the nurse interpret the findings 24 hr later?
Correct Answer: A
Rationale: The correct answer is A: Decreased extremity edema. This indicates improved circulation and reduced fluid retention, a positive response to treatment. Redness (
B) may indicate infection, leukocytosis (
C) suggests inflammation or infection, and tachycardia (
D) could be a sign of distress. Monitoring for improvement in edema is crucial in assessing the effectiveness of treatment.
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Question 4 of 5
What was the client's score on the Edinburgh Postnatal Depression Screen?
Correct Answer: B
Rationale: A score of 11 on the EPDS on postpartum day 30 is above the clinical cutoff score of 10, indicating a high risk of postpartum depression.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 5 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.