ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 1 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Nägele’s Rule: subtract 3 months (May 10) and add 7 days (May 17) from August 10, giving an EDD of May 17.
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: C
Rationale: Applying upward pressure relieves cord compression in prolapse, the priority to improve fetal oxygenation, before other interventions.
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first step to control postpartum hemorrhage by promoting uterine contraction and reducing bleeding.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 4 of 5
The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: Epidural opioids commonly cause hypotension due to vasodilation; the other effects are not typical.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 5 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: A 45-degree angle ensures proper airway positioning for a rear-facing car seat; a challenge test is for preterm infants, and forward-facing is at 2 years.