ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: Lateral deviation, large lochia rubra, and soft uterus suggest uterine atony and potential hemorrhage, requiring urgent intervention.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 2 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Tubal ligation blocks the fallopian tubes but doesn't affect ovarian function or hormones, so ovulation continues unchanged.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 4 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: Epidural opioids commonly cause hypotension due to vasodilation; the other effects are not typical.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 5 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: C
Rationale: Oxygen saturation of 89% indicates worsening hypoxemia, a critical decline in respiratory status.