ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 1 of 5
Identify the sequence of actions the nurse should take.
Correct Answer: C, A, B, D, E
Rationale: Sequence: Empty bladder (
C), position client (
A), palpate fundus (
B), sides (
D), then symphysis pubis (E) for accurate fetal positioning.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing photos supports grieving and memory-making after a stillbirth. Autopsies are optional, naming isn't legally required, and time with the fetus should be based on the client's wishes.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 3 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: Delaying ointment facilitates early bonding by allowing eye contact; it's not for infection detection or related to weight or delivery method.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 4 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: Advanced labor (8 cm dilation) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony, not the other conditions listed.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 5 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: Serum digoxin levels provide the most objective measure of adherence and therapeutic range in pregnancy.