ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
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 1 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 assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 2 of 5
What action should the nurse take first?
Correct Answer: D
Rationale: Massaging the fundus is the first step to contract the uterus and control bleeding from atony. Oxygen, oxytocin, and bladder emptying follow if needed.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 3 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: B
Rationale: Checking serum digoxin levels directly assesses adherence by confirming therapeutic range. Kidney function and pulse rate don't measure adherence, and self-reporting may be unreliable.
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 educating a client who follows a vegan diet and wants to increase their vitamin B intake.
Question 5 of 5
Which food should the nurse suggest?
Correct Answer: D
Rationale: Fortified soy milk is a reliable source of vitamin B12 for vegans, unlike citrus fruits (vitamin
C), carrots (vitamin
A), or brown rice (other B vitamins but not B12).