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 postpartum nurse is caring for a client and their newborn.
Question 2 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: Reviewing the birth experience with others is typical of the taking-in phase, where the mother is passive, dependent, and processes her new role by reflecting on the birth.
Extract:
A nurse is caring for a client who is receiving terbutaline to treat preterm labor.
Question 3 of 5
What findings should the nurse identify as a potential adverse effect of this medication?
Correct Answer: A
Rationale: Heart palpitations are a common adverse effect of terbutaline, a beta-adrenergic agonist that increases heart rate.
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.
Extract:
A nurse on the postpartum unit is caring for four patients.
Question 5 of 5
For which of the following patients should the nurse notify the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes in a patient on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification.