ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 1 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Antibiotics prevent infection from CSF leakage in myelomeningocele; surgery is urgent, not delayed.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 2 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: A 45-degree angle ensures proper airway positioning for a rear-facing car seat. The other options are incorrect for a term newborn as explained in Q4.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 3 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: A firm fundus post-misoprostol indicates improvement in uterine tone, reducing hemorrhage; low BP suggests ongoing bleeding but firmness is the goal.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Fasting glucose of 180 mg/dL indicates possible gestational diabetes, requiring reporting; other values are normal or near-normal.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cool sitz bath reduces swelling and pain in a severe perineal laceration; methylergonovine is for uterine tone, not lacerations.