ATI RN
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.