ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in the second stage of labor and is experiencing a shoulder dystocia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Assisting the client to pull their knees toward their abdomen (McRoberts maneuver) widens the pelvic outlet to relieve shoulder dystocia, unlike the other options, which are either incorrect or supplementary actions.
Extract:
A client who is in labor and experiences abruptio placenta.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Uterine tenderness is a common symptom of abruptio placentae due to bleeding and irritation behind the placenta, distinguishing it from other conditions. Hypertension may occur but isn't specific, fetal tachycardia can transition to bradycardia as abruption worsens, and leukorrhea is unrelated.
Extract:
A client who has preeclampsia.
Question 3 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: Padding the side rails prevents injury during a seizure, the priority for safety in preeclampsia, over the other supportive but less immediate actions.
Extract:
A client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 4 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a key sign of postpartum hemorrhage due to significant blood loss, especially after delivering a large newborn, which increases risk. The other findings are within normal postpartum ranges.
Extract:
An adolescent client who requests a prescription for birth control.
Question 5 of 5
Which of the following questions should the nurse ask?
Correct Answer: B
Rationale: Asking what the client knows about contraception assesses knowledge and guides education, a key nursing role, unlike the other less relevant or judgmental questions.