ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 1 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 2 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 3 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: D
Rationale: CMV transmission occurs via bodily fluids like saliva and urine. Lesions aren't typical, airborne precautions aren't needed, and acyclovir isn't used for CMV.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 4 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: C
Rationale: Facial palsy can result from forceps pressure on the facial nerve, a known complication. Other options aren't directly linked to forceps delivery.
Extract:
A nurse is preparing to administer metronidazole 2g orally to a client diagnosed with trichomoniasis. The available medication is metronidazole 250 mg tablets.
Question 5 of 5
How many tablets should the nurse administer?
Correct Answer: C
Rationale: Calculation: 2 g = 2000 mg; 2000 mg ÷ 250 mg/tablet = 8 tablets. Rounded to the nearest whole number, the answer is 8.