ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 1 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 2 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy.
Question 3 of 5
What actions should the nurse take?
Correct Answer: D
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, preventing potential eye damage.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 4 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.
Extract:
A 32-year-old female in postpartum unit, cesarean birth due to preeclampsia, given misoprostol, pale, dizzy, cool/clammy skin, no urine since medication.
Question 5 of 5
The nurse is assessing the client 1 hour later. How should the nurse interpret the findings?
| Findings | condition improving | condition worsening | unrelated to the diagnosis |
|---|---|---|---|
| Fundus 2 cm above umbilicus | |||
| BP 90/60, | |||
| HR 110/min | |||
| Heavy bleeding | |||
| Dizziness | |||
| Cloudy urine |
Correct Answer:
Rationale: Fundus 2 cm above, HR 110/min, heavy bleeding, dizziness worsening (hemorrhage); BP 90/60 improving (post-preeclampsia); cloudy urine unrelated.