ATI RN
ATI RN Maternal Newborn 2023 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: D
Rationale: Using Nägele's Rule, we add 7 days to the first day of the last menstrual period and count forward 3 months. For D: 17-May, the first day would be February 10th (17 - 3 months = February 10th). Adding 7 days gives February 17th. Thus, the estimated delivery date is May 17th.
Choice A (3-May) is too early, B (20-May) is too late, and C (13-May) is also too early based on the calculation method.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct action for the nurse to take first is to assist the client to the bathroom (choice
B). This is the priority because it addresses the immediate need for the client's elimination. By assisting the client to the bathroom, the nurse ensures the client's comfort and dignity while also promoting their physical well-being. Inserting a urinary catheter (choice
A) should only be done if the client is unable to void on their own after other interventions. Offering a sitz bath (choice
C) and pouring warm water over the perineum (choice
D) may be helpful for comfort but do not address the urgent need for elimination.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 3 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to evaluate urinary output (
Choice
C). This is important post-surgery to assess renal function and fluid balance. Monitoring urine output can indicate adequate organ perfusion and hydration status. It helps in early detection of complications like renal failure. Applying an ice pack (
Choice
A) may be indicated for pain but is not the priority. Replacing the surgical dressing (
Choice
B) is important but not as crucial as evaluating urinary output. Administering IV bolus (
Choice
D) may be necessary in certain situations, but assessing urinary output should be done first to determine the need for fluid administration.
Extract:
"A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago."
Question 5 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A, C, D
Rationale: The correct answers are A, C, and D. Vacuum-assisted delivery can lead to uterine atony, increasing the risk of postpartum hemorrhage. History of uterine atony is a risk factor itself. Labor induction with oxytocin can cause rapid and prolonged contractions, leading to postpartum hemorrhage.
Choices B and E are not directly related to postpartum hemorrhage risk. Human papillomavirus does not increase the risk, and newborn weight is not a factor in postpartum hemorrhage.