ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing 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: In the event of shoulder dystocia during the second stage of labor, the McRoberts maneuver involves assisting the client in pulling their knees toward their abdomen to widen the pelvic outlet.
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
Question 2 of 5
What condition is the newborn most likely experiencing?
Correct Answer: A
Rationale: The symptoms of jitteriness, weak cry, and mottled extremities with acrocyanosis are indicative of hypoglycemia.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 3 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The client should have her provider refit her for a new diaphragm due to postpartum body changes affecting fit.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 4 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is obtaining a 2-hr postprandial blood glucose from a patient.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Selecting the lateral side of the finger for puncture is recommended because it is less painful and has good blood flow.