ATI RN Maternal Newborn 2023 Retake

Extract:

A nurse is assessing a client who is 6 hours postpartum and has endometritis.

Question 1 of 5

What findings should the nurse expect?

A. Temperature 37.4Â°C (99.3Â°F) B. Scant lochia C. WBC count 9,000/mm D. Uterine tenderness

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 2 of 5

What action should the nurse take?

A. Press firmly on the client's suprapubic area. B. Assist the client in pulling their knees toward their abdomen. C. Apply pressure to the client's fundus. D. Move the client onto their hands and knees.

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.

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 3 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 4 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 5 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.

ATI RN Maternal Newborn 2023 Retake | Nurselytic

Nurselytic

ATI RN

ATI RN