ATI RN
ATI Maternal Newborn Final Exam Questions
Extract:
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A boggy fundus displaced to the right often indicates a full bladder, so assisting the client to void is the appropriate action to promote uterine contraction and prevent hemorrhage.
Extract:
A nurse is preparing to administer liquid mycostatin 600,000 units PO TID. Available is mycostatin 100,000 units/mL.
Question 2 of 5
How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To administer 600,000 units with mycostatin at 100,000 units/mL, divide 600,000 by 100,000, yielding 6 mL per dose.
Extract:
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.
Question 3 of 5
Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.
Extract:
A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron-fortified formula.
Question 4 of 5
Which of the following should be included in the teaching?
Correct Answer: C
Rationale: Infants' iron stores deplete around 4-6 months, necessitating iron-fortified formula to prevent deficiency anemia, unlike the other options, which are inaccurate or unrelated to the primary reason for iron supplementation.
Extract:
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and states that she can 'feel the baby moving.' An ultrasound is scheduled immediately.
Question 5 of 5
The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following?
Correct Answer: C
Rationale: Heavy, painless vaginal bleeding at 38 weeks suggests placenta previa or abruption, so an ultrasound to locate the placenta is critical to diagnose the cause.