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 delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action for the nurse to take is to evaluate urinary output (
Choice
C). This is important post-surgery to assess renal function and fluid balance. Monitoring urine output can indicate adequate organ perfusion and hydration status. It helps in early detection of complications like renal failure. Applying an ice pack (
Choice
A) may be indicated for pain but is not the priority. Replacing the surgical dressing (
Choice
B) is important but not as crucial as evaluating urinary output. Administering IV bolus (
Choice
D) may be necessary in certain situations, but assessing urinary output should be done first to determine the need for fluid administration.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.
Extract:
A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.
Question 4 of 5
After calling for assistance and notifying the provider, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Perform a vaginal examination by applying upward pressure on the presenting part. This action is crucial to assess the progress of labor and determine if there is a risk of cord prolapse, a serious obstetric emergency. By applying upward pressure, the nurse can alleviate pressure on the cord and prevent potential complications. Administering oxygen (
A) may be necessary but is not the immediate priority. Covering the umbilical cord (
B) does not address the potential emergency. Initiating IV fluids (
C) is important, but assessing the cord position takes precedence.
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 5 of 5
Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: The correct answer is C: "Has your back labor improved?" This question is the most appropriate to evaluate the effectiveness of the intervention because it directly relates to the specific issue being addressed, which is back labor. By asking about improvement in back labor, the nurse can assess whether the intervention is targeting the problem effectively.
Choice A is incorrect because it focuses on pelvic pressure, which is not the main concern in this situation.
Choice B is incorrect as it pertains to contractions, not back labor.
Choice D is incorrect as it mentions suprapubic pain, which is not the primary focus of the intervention.
Choices E, F, and G are not provided, but they would also be incorrect if they do not target the issue of back labor.