ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 1 of 5
What clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: A
Rationale: A firm and midline fundus is the therapeutic effect of oxytocin, promoting uterine contraction to reduce bleeding post-placenta expulsion.
Extract:
A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21.
Question 2 of 5
What is the estimated date of delivery in the next year?
Correct Answer: C
Rationale: Using Nagele's rule: June 21 - 3 months = March 21, + 7 days = March 28, providing the estimated delivery date.
Extract:
A nurse is assessing a newborn of a client who reported methadone use during pregnancy.
Question 3 of 5
What manifestations should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: A weak cry is a common symptom of neonatal abstinence syndrome (NAS) in newborns exposed to opioids like methadone in utero.
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 4 of 5
What instructions should the nurse include?
Correct Answer: C
Rationale: Feeding at least every 3 hours ensures adequate nutrition and stimulates milk production, appropriate for breastfeeding discharge teaching.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Administering broad-spectrum antibiotics prevents infection from CSF leakage, a critical step before urgent surgical closure.