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 reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 2 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 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 4 of 5
What action should the nurse take?
Correct Answer: B
Rationale: The McRoberts maneuver involves flexing the client's hips to widen the pelvic outlet, achieved by pulling knees toward the abdomen. Other actions relate to different maneuvers.
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 5 of 5
Which of the following food selections has the highest fiber content per cup?
Correct Answer: B
Rationale: Lentils have the highest fiber content per cup (15.6 g) compared to oatmeal (4 g), cabbage (2.2 g), and asparagus (3.7 g), making them the best choice for relieving constipation.