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: Misoprostol promotes uterine contraction to treat atony and bleeding; the other actions don't address the immediate issue.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 2 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Antibiotics prevent infection from CSF leakage in myelomeningocele; surgery is urgent, not delayed.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Neonatal abstinence syndrome (NAS) often presents with excessive crying due to central nervous system irritability from maternal drug withdrawal. The other options suggest hypotonia, which is not typical of NAS.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 4 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: A firm fundus post-misoprostol indicates improvement in uterine tone, reducing hemorrhage; low BP suggests ongoing bleeding but firmness is the goal.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A side-lying position improves venous return and blood pressure after epidural-induced hypotension.