ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 1 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 caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 2 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Applying upward pressure relieves cord compression, the priority in cord prolapse, before other interventions.
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 3 of 5
Which of the following food selections has the highest fiber content per cup?
Correct Answer: A
Rationale: Lentils have the highest fiber content per cup (about 16g) compared to cabbage (5g), asparagus (3g), and oatmeal (4g), making them the best choice for relieving constipation.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 4 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: Facial palsy is a known complication of forceps-assisted birth due to pressure on the facial nerve. The other options are not directly related to forceps use.
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 5 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.