ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Administering oxygen via a face mask increases maternal oxygen saturation, improving fetal oxygenation in response to late decelerations, which indicate fetal hypoxia.
Extract:
A nurse is caring for a client who is in labor.
Question 2 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
Extract:
A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta.
Question 3 of 5
What clinical manifestations should the nurse expect as a therapeutic effect of the medication?
Correct Answer: A
Rationale: A firm and midline fundus is the therapeutic effect of oxytocin, promoting uterine contraction to reduce bleeding post-placenta expulsion.
Extract:
A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns.
Question 4 of 5
What should the nurse include in the policy?
Correct Answer: D
Rationale: Obtaining an imprint of the infant's feet prior to taking him to the nursery is a reliable identification method. Footprints, along with the mother's fingerprints, are taken soon after birth and used throughout the hospital stay, unlike crib cards which can be misplaced or identification bands replaced later.
Extract:
A nurse is planning care for a patient who is 12 hours postpartum and has a third-degree perineal laceration.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Witch hazel pads reduce inflammation and promote healing, suitable for a third-degree laceration postpartum.