ATI RN Maternal Newborn 2023 Retake

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 1 of 5

What action should the nurse take first?

A. Provide oxygen to the client via a nonrebreather face mask. B. Administer oxytocin to the client. C. Empty the client's bladder. D. Massage the client's fundus.

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 in a prenatal clinic is caring for a group of clients.

Question 2 of 5

Which of the following clients should the nurse recognize as having a contraindication for a contraction stress test?

A. A client who has gestational diabetes mellitus B. A client who had a previous stillbirth C. A client who had a nonreactive nonstress test D. A client who has a previous classical incision

Correct Answer: D

Rationale: A previous classical uterine incision increases rupture risk, contraindicating a contraction stress test. Other conditions don't pose this risk.

Extract:

A nurse at an antepartum clinic is caring for four clients.

Question 3 of 5

Which of the following clients should the nurse assess first?

A. A client who is at 10 weeks of gestation and reports frequent urination B. A client who is at 8 weeks of gestation and reports severe vomiting C. A client who is at 36 weeks of gestation and reports back pain following intercourse D. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers

Correct Answer: B

Rationale: Severe vomiting at 8 weeks suggests hyperemesis gravidarum, requiring urgent assessment for dehydration risks. Other symptoms are less acute.

Extract:

A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.

Question 4 of 5

Which of the following statements by a parent indicates an understanding of the teaching?

A. I can use a sleep sack to keep my baby warm in the car seat. B. My baby will need a car seat challenge test before discharge. C. When my baby is 1 year old, I can turn their car seat facing forward. D. The car seat should be positioned in the car at a 45-degree angle.

Correct Answer: D

Rationale: A 45-degree angle ensures airway safety and crash protection. Sleep sacks interfere with harnesses, car seat tests aren't routine for term infants, and rear-facing is recommended beyond 1 year.

Extract:

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.

Question 5 of 5

Which of the following actions should the nurse take?

A. Massage the client's fundus. B. Apply oxygen at 2 L/min via nasal cannula. C. Turn the client to a side-lying position. D. Assist the client to empty their bladder.

Correct Answer: C

Rationale: Turning to a side-lying position (preferably left) improves blood flow and corrects hypotension from epidural anesthesia. Other actions don't address this cause.

ATI RN Maternal Newborn 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN