ATI RN
ATI Maternal Newborn Exam Final Questions
Extract:
A client who experienced a vaginal delivery
Question 1 of 5
The nurse should explain to the client that the purpose of methylergonovine IM is to prevent which of the following conditions?
Correct Answer: A
Rationale: Methylergonovine promotes uterine contractions to control bleeding, preventing postpartum hemorrhage. It does not prevent infection, hypertension, or thromboembolism.
Extract:
A client during the first trimester of pregnancy, blood work shows no immunity to rubella
Question 2 of 5
When should the nurse understand is the recommended time for rubella immunization?
Correct Answer: A
Rationale: Rubella immunization (MMR vaccine) is given post-delivery to avoid risks from the live virus during pregnancy, protecting future pregnancies.
Extract:
A client in labor who has had epidural anesthesia for pain relief
Question 3 of 5
Which of the following findings should the nurse identify as a complication from the epidural block?
Correct Answer: A
Rationale: Hypotension is a common epidural complication due to sympathetic nerve blockade, risking perfusion. Vomiting, tachycardia, and respiratory depression are less frequent.
Extract:
A client who is 2 hours postpartum, soaked a perineal pad in 10 minutes, ashen skin, feels weak and light-headed, oxygen applied at 10 L/min via non-rebreather mask
Question 4 of 5
Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Fundal massage stimulates uterine contractions to control bleeding in postpartum hemorrhage, the likely cause of symptoms. Positioning, oxytocin, and catheterization follow if needed.
Extract:
A patient who is in labor
Question 5 of 5
Which of the following complications should the nurse identify that the patient is at risk of developing?
Correct Answer: A
Rationale: Without specific details, chorioamnionitis is a plausible risk during labor, especially with prolonged rupture of membranes. Other conditions require specific risk factors not provided.