ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen (
Choice
A) to facilitate the delivery of the shoulders during a shoulder dystocia. This maneuver helps to create more space in the birth canal for the baby's shoulder to pass through. Applying pressure to the fundus (
Choice
B) could potentially cause harm to the baby. Pressing firmly on the suprapubic area (
Choice
C) is not an appropriate action during shoulder dystocia. Moving the client onto their hands and knees (
Choice
D) could worsen the situation by altering the position of the baby. It is crucial to choose the action that is evidence-based and designed to resolve the specific issue at hand effectively.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take is turning the client to a side-lying position (
Choice
B). This is essential for preventing aspiration in unconscious or postoperative clients. Turning the client helps maintain airway patency, promotes lung expansion, and prevents complications such as pressure ulcers. Massaging the fundus (
Choice
A) is specific to postpartum care. Applying oxygen (
Choice
C) is not indicated without assessing the client's oxygenation status. Assisting the client to empty their bladder (
Choice
D) is important but not the priority in this scenario.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to provide the client with a cool sitz bath (
Choice
C). This helps reduce perineal swelling and discomfort postpartum. Administering methylergonovine (
Choice
A) is used to manage postpartum hemorrhage. Applying povidone-iodine (
Choice
B) can cause skin irritation. Applying a warm compress (
Choice
D) may increase perineal swelling.
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 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Anticipate a prescription for misoprostol. This is the correct action because misoprostol is commonly used in obstetrics to induce labor or manage postpartum hemorrhage. The nurse should anticipate this prescription to be prepared to administer it as needed.
Choice A is incorrect as sterile vaginal examinations may be necessary for assessment and care.
Choice C is incorrect as a Kleihauer-Betke test is used to detect fetal-maternal hemorrhage, not typically indicated in this scenario.
Choice D is incorrect as betamethasone is a corticosteroid used for fetal lung maturity, not indicated in this situation.
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 5 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: The correct actions for the nurse to take are A, F, and G.
- A: Maintaining a low stimulation environment is important for newborns to promote rest and decrease stress.
- F: Weighing the newborn daily helps monitor their growth and detect any potential issues early.
- G: Swaddling the newborn with flexed extremities can provide comfort and mimic the womb environment, helping to soothe the baby.
Other choices are incorrect:
- B: Naloxone is not routinely administered to newborns unless specific circumstances warrant it.
- C: Breastfeeding is typically encouraged unless contraindicated by specific circumstances.
- D: Eye contact during feeding is important for bonding and communication between the parent and newborn.
- E: Performing Ballard newborn screening each shift is not necessary and may cause unnecessary stress to the newborn.