ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 1 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.
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 2 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 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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Evaluating urinary output assesses for hypovolemia from bleeding, a priority when fundal massage fails.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 4 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: Serum digoxin levels provide the most objective measure of adherence and therapeutic range in pregnancy.
Extract:
"A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago."
Question 5 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery, uterine atony, and oxytocin induction increase hemorrhage risk due to trauma or poor uterine tone. HPV and normal birth weight do not.