ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is evaluating a newborn who was born 2 hours ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 1 of 5
Which finding indicates a decline in the newborn's status?
Correct Answer: A
Rationale: An oxygen saturation of 89% is below the normal range for a newborn (above 95%), indicating a decline in status.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 2 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: B
Rationale: A weight gain of 4.5 kg (10 lb) since a positive pregnancy test could indicate rapid weight gain, potentially due to fluid retention or inadequate nutrition, warranting a referral to a dietitian.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.
Question 3 of 5
Which should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: Improvement in back labor is a direct indicator of the effectiveness of the hands-and-knees position in relieving discomfort associated with a fetus in the occipitoposterior position.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 4 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.
Extract:
In a prenatal clinic, a nurse is caring for a group of clients.
Question 5 of 5
Which client should the nurse identify as having a contraindication for a contraction stress test?
Correct Answer: D
Rationale: A previous classical incision is a contraindication for a contraction stress test due to the risk of uterine rupture.