ATI RN
ATI RN Maternal Newborn 2023 Questions
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 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Anticipate a prescription for misoprostol. This is the correct action because misoprostol is commonly used in obstetrics to induce labor or manage postpartum hemorrhage. The nurse should anticipate this prescription to be prepared to administer it as needed.
Choice A is incorrect as sterile vaginal examinations may be necessary for assessment and care.
Choice C is incorrect as a Kleihauer-Betke test is used to detect fetal-maternal hemorrhage, not typically indicated in this scenario.
Choice D is incorrect as betamethasone is a corticosteroid used for fetal lung maturity, not indicated in this situation.
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Assess the newborn's latch while breastfeeding. This action is crucial as a proper latch is essential for effective breastfeeding, ensuring the baby receives enough milk and prevents nipple soreness. By assessing the latch, the nurse can identify and correct any issues early on, promoting successful breastfeeding.
A: Limiting breastfeeding time may hinder milk production and not address the root cause of latch issues.
B: Waiting 4 hours between feedings can lead to insufficient milk intake for the baby.
C: Offering supplemental formula can interfere with breastfeeding and reduce milk supply.
E, F, G: Irrelevant options.
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 3 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it shows an understanding of the teaching about the procedure not affecting ovulation. A: Incorrect, as the length of the menstrual period was not discussed. B: Incorrect, as premenstrual tension was not mentioned to change. C: Incorrect, as hormone replacements were not mentioned.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 4 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision (vertical incision on the uterus) has a contraindication for a contraction stress test due to the risk of uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of complications during labor.
A: A client with gestational diabetes mellitus can undergo a contraction stress test as long as blood sugar levels are monitored.
C: A client with a previous stillbirth does not have a contraindication for a contraction stress test.
D: A client with a nonreactive nonstress test may benefit from further evaluation with a contraction stress test.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 5 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: D
Rationale: Using Nägele's Rule, we add 7 days to the first day of the last menstrual period and count forward 3 months. For D: 17-May, the first day would be February 10th (17 - 3 months = February 10th). Adding 7 days gives February 17th. Thus, the estimated delivery date is May 17th.
Choice A (3-May) is too early, B (20-May) is too late, and C (13-May) is also too early based on the calculation method.