ATI RN
ATI RN Maternal Newborn 2023 Questions
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 1 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 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 teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 3 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 providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Postpartum changes in pelvic anatomy require refitting a diaphragm. Oil-based lubricants damage diaphragms, it should remain in place for 6 hours post-intercourse, and sterile water is unnecessary for storage.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 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.