ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for an infant who has signs of neonatal abstinence syndrome.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Initiating seizure precautions is appropriate for an infant with NAS, as they are at risk for seizures.
Extract:
A nurse is assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 2 of 5
What should the nurse do first?
Correct Answer: B
Rationale: Massaging the client's fundus is the priority action to address excessive vaginal bleeding by stimulating uterine contractions.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 3 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 4 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.
Extract:
A nurse in the emergency department is caring for a 19-year-old patient who is at 18 weeks of gestation. The patient presents with reports of nausea and vomiting for the past several weeks, which has worsened in severity. The patient states that they have been unable to retain even clear fluids for the past 48 hours. The patient reports no pain. The patient reports a history of migraines and asthma.
Question 5 of 5
What condition is the patient most likely experiencing?
Correct Answer: B
Rationale: The patient is most likely experiencing Hyperemesis Gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration.