ATI RN
ATI RN Maternal Newborn 2023 Questions
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 1 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 2 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.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Washing the face with plain water is safe and appropriate; feeding before bathing risks aspiration, soft mattresses and bumpers increase SIDS risk.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 4 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 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 5 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.