ATI RN
ATI RN Maternal Newborn 2023 II Questions
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 1 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 caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment. The guardian refuses the medication.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Documenting refusal respects the guardian's right to refuse while maintaining a legal record; reporting to social services or ethics isn't warranted unless harm is imminent.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 3 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: B
Rationale: Delaying ointment facilitates early bonding by allowing eye contact; weight and delivery method don't affect this, and it's not for infection detection.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 4 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: Clomiphene citrate commonly causes breast tenderness due to hormonal changes; the other effects are not typical.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Misoprostol promotes uterine contraction to treat atony and bleeding; the other actions don't address the immediate issue.