Questions 61

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn 2023 Questions

Extract:

A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.


Question 1 of 5

The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)

Correct Answer: D

Rationale: A firm fundus post-misoprostol indicates improvement in uterine tone, reducing hemorrhage; low BP suggests ongoing bleeding but firmness is the goal.

Extract:

A nurse is caring for a newborn immediately following birth.


Question 2 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 assessing a client who is 3 days postpartum.


Question 3 of 5

Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: Cool, clammy skin suggests hypovolemia or shock, possibly from hemorrhage, requiring immediate reporting.

Extract:

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: A

Rationale: The McRoberts maneuver involves flexing the client's hips to widen the pelvis and relieve shoulder dystocia.

Extract:

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.


Question 5 of 5

Which of the following adverse effects should the nurse include?

Correct Answer: A

Rationale: Clomiphene citrate, used to stimulate ovulation, commonly causes breast tenderness due to hormonal changes. The other effects are not typically associated with this medication.

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