ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Peripartum cardiomyopathy requires fluid restriction to reduce cardiac strain; fluids could worsen heart failure.
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 2 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 assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Fundal massage is the first step to control postpartum hemorrhage by promoting uterine contraction and reducing bleeding.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 4 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: MRSA requires contact precautions due to transmission via direct contact or contaminated surfaces. The other precautions are for different pathogens.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 5 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: Epidural opioids commonly cause hypotension due to vasodilation; the other effects are not typical.