ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who reports methadone use during pregnancy.
Question 1 of 5
The nurse should expect the newborn to exhibit which of the following manifestations?
Correct Answer: A
Rationale: The correct answer is A: Poor feeding. Newborns may exhibit poor feeding due to various reasons such as immature sucking reflex, inadequate milk production, or other health issues. This is a common manifestation that nurses should expect and address promptly to ensure the newborn's well-being. Weak cry (
B) and absent Moro reflex (
C) are concerning signs that may indicate neurological or developmental issues, but they are not typical manifestations expected in all newborns. Respiratory rate of 30/min (
D) is within the normal range for newborns, so it is not a significant concern unless accompanied by other respiratory distress symptoms.
Extract:
A client following a vaginal delivery of a term fetal demise.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You can bathe and dress your baby if you'd like to." This statement empowers the parent to make choices regarding caring for their baby, promoting autonomy and bonding. It fosters a sense of control and involvement in the care process.
Choice B is incorrect as it assumes the parent wants another baby, which may not be the case and can be insensitive.
Choice C is incorrect as it implies that not holding the baby will make it harder to let go, which may not be true for everyone and can induce guilt.
Choice D is incorrect as naming the baby is a personal decision and should not be dictated by others.
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.
Extract:
A client who is in labor.
Question 4 of 5
The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via a face mask. Late decelerations indicate uteroplacental insufficiency, causing fetal hypoxia. Administering oxygen improves oxygenation to the fetus by increasing maternal oxygen levels. Placing the client in a side-lying position helps improve uteroplacental perfusion. Decreasing IV fluids may further compromise perfusion. Fetal scalp stimulation is used for non-reassuring fetal heart rate patterns, not specifically for late decelerations. Elevating the client's head does not directly address the fetal distress.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 5 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: This medication prevents seizures. This is the appropriate response because it directly relates to the action of the medication, which is likely an antiepileptic drug. Seizure prevention is a common indication for such medications in various clinical settings.
Choices A, C, and D are incorrect because they do not align with the typical action of a medication used to prevent seizures.
Choice A is more related to medications that increase heart function, choice C to medications affecting fetal heart rate, and choice D to medications improving blood flow. It is important for a nurse to provide accurate and relevant information to ensure patient safety and optimal outcomes.