ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord.
Question 1 of 5
What clinical findings should the nurse anticipate?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck with a nuchal cord. Other findings aren't associated with this condition.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 2 of 5
What clinical findings should the nurse report?
Correct Answer: C
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome and should be reported. Rust-stained urine isn't typically assessed at admission, subconjunctival hemorrhage is benign, and transient circumoral cyanosis is normal if brief.
Extract:
A nurse is admitting a client to the birthing unit who started having contractions an hour ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
What condition is the client at risk for?
Correct Answer: C
Rationale: Rapid labor progress (80% effaced, 8 cm dilated in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony. Other conditions aren't relevant at this stage.
Extract:
A nurse is assessing a client who is 6 hours postpartum and has endometritis.
Question 4 of 5
What findings should the nurse expect?
Correct Answer: D
Rationale: Uterine tenderness is a hallmark of endometritis, along with possible fever or foul lochia. Normal temperature, scant lochia, and normal WBC don't align with this condition.
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 5 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.