ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.
Question 1 of 5
What action should the nurse take?
Correct Answer: B
Rationale: Misoprostol is a medication that can be used to treat uterine atony by promoting uterine contractions to reduce bleeding. A Kleihauer-Betke test assesses fetal-maternal hemorrhage, not immediate bleeding management; betamethasone is for fetal lung maturity, not atony; and avoiding vaginal exams doesn't address the bleeding.
Extract:
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10.
Question 2 of 5
Using Nägele's Rule, what is the patient's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule: Add 7 days to August 10 (August 17), subtract 3 months (May 17), and add 1 year if crossing years. The correct date is May 17, 2025, assuming the current year aligns with the question context.
Extract:
A nurse is caring for a patient immediately following the delivery of a stillborn fetus.
Question 3 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Providing photos of the fetus supports memory-making and aids in the grieving process after a stillbirth. An autopsy is optional, time with the fetus should be based on parental wishes, and naming the fetus is not legally required.
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 4 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.