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: The correct action is to assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the birth canal and promoting descent. Pressing on the suprapubic area (
B) could be painful for the client and is not a recommended technique. Applying pressure to the fundus (
C) can cause uterine contractions and should be avoided during labor. Moving the client onto their hands and knees (
D) may not be suitable for all situations and could potentially hinder the progress of labor.
Extract:
A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 2 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: B
Rationale: The correct answer is B. A 4.5 kg (10 lb) weight gain since a positive pregnancy test is concerning as it may indicate excessive weight gain, which can lead to complications during pregnancy. Referring the client to a registered dietitian can help ensure they are following a healthy and balanced diet to manage weight gain and promote optimal health for both the client and the baby.
Choices A, C, and D do not directly indicate the need for a dietitian referral. A multivitamin, nausea, and constipation can be addressed by a healthcare provider without necessarily involving a dietitian.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 3 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Excessive crying. Excessive crying is a common finding in infants with colic, which is a self-limiting condition characterized by prolonged and inconsolable crying. Diminished deep tendon reflexes (
A), absent Moro reflex (
B), and decreased muscle tone (
D) are not typically associated with colic. It is important for the nurse to recognize these findings to differentiate them from colic and provide appropriate care.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 5 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A. Delaying the instillation of antibiotic ophthalmic ointment helps facilitate bonding between the newborn and parent. This is important because the initial moments after birth are crucial for establishing a strong emotional connection between the newborn and the parent, which can have long-lasting positive effects on the child's development.
Choices B, C, and D are incorrect because the weight of the newborn, identifying infection, and mode of delivery do not directly impact the need to delay the instillation of the ointment for bonding purposes.