Questions 61

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn 2023 Questions

Extract:

A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.


Question 1 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Evaluating urinary output assesses for hypovolemia from bleeding, a priority when fundal massage fails.

Extract:

A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.


Question 2 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Misoprostol promotes uterine contraction to treat atony and bleeding; the other actions don't address the immediate issue.

Extract:

A nurse is assessing a newborn following a forceps-assisted birth.


Question 3 of 5

Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

Correct Answer: B

Rationale: Facial palsy is a known complication of forceps-assisted birth due to pressure on the facial nerve. The other options are not directly related to forceps use.

Extract:

A nurse is caring for a term newborn who is 48 hr old. Physical Examination: High-pitched cry, Mild tremors when disturbed, Increased muscle tone, Sneezing six times within 1 hr, Excessive sucking, Color: Consistent with genetic background, Excoriation of the chin, Watery stools, Projectile vomiting, Hyperactive Moro reflex.


Question 4 of 5

The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? (Select one representative finding)

Correct Answer: D

Rationale: A continuous high-pitched cry suggests worsening neonatal abstinence syndrome, indicating increased irritability.

Extract:

A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.


Question 5 of 5

Which of the following actions should the nurse take to best evaluate the client's medication adherence?

Correct Answer: D

Rationale: Serum digoxin levels provide the most objective measure of adherence and therapeutic range in pregnancy.

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