ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a newborn who is 5 days old. Medical History: History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 1 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: Low stimulation, daily weighing, and swaddling manage NAS symptoms. Naloxone is contraindicated, breastfeeding is safe with methadone, and Ballard screening isn't routine daily.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 2 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: A previous classical (vertical) uterine incision contraindicates a contraction stress test due to the risk of uterine rupture.
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 3 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 caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 4 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Late decelerations indicate fetal hypoxia; oxygen at 10 L/min via nonrebreather improves fetal oxygenation after stopping oxytocin.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing photos supports grieving and memory-making after a stillbirth. Autopsies are optional, naming isn't legally required, and time with the fetus should be based on the client's wishes.