ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
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 1 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: If a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage after a cesarean birth, administering a 500 mL lactated Ringer's IV bolus can help increase the client's circulating volume and support her hemodynamic stability.
Extract:
A nurse is teaching a client who is experiencing infertility about clomiphene citrate.
Question 2 of 5
Which adverse effects should the nurse include?
Correct Answer: B
Rationale: Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes induced by the medication.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 3 of 5
Which finding should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: D
Rationale: Flank pain is a common manifestation of pyelonephritis, as the kidneys are located in the flank area.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 4 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 5 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The instillation of antibiotic ophthalmic ointment is delayed to facilitate bonding between the newborn and the parent, promoting immediate skin-to-skin contact.