ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.
Question 1 of 5
How should the nurse interpret the findings?
Correct Answer: B
Rationale: A BUN level of 40 mg/dL is higher than normal (7-20 mg/dL), indicating potential kidney dysfunction.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 2 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Administering broad-spectrum antibiotics is crucial to prevent infection due to leaking cerebrospinal fluid.
Extract:
A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 4 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: C
Rationale: The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The client should have her provider refit her for a new diaphragm due to postpartum body changes affecting fit.