ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing a client who is in labor and has received epidural analgesia.
Question 1 of 5
What findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: Hypotension is a known adverse effect of epidural analgesia due to sympathetic nerve blockade causing vasodilation.
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 2 of 5
What clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.
Extract:
A nurse on the postpartum unit is caring for four patients.
Question 3 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.
Extract:
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.
Question 4 of 5
Which of the following client statements indicates understanding of the teaching?
Correct Answer: C
Rationale: Avoiding pregnancy for at least 1 month post-rubella immunization is correct due to the live virus, ensuring fetal safety.
Extract:
A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 5 of 5
What actions should the nurse take first?
Correct Answer: B
Rationale: Administering oxygen at 10 L/min addresses potential hypoxia from significant blood loss, indicated by saturating pads every 10-15 minutes, as the first priority.