ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is in labor. The nurse notes that the umbilical cord is protruding from the client's vagina.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exerting upward pressure on the presenting part relieves cord compression, restoring fetal blood flow as the priority action.
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 2 of 5
What information should the nurse provide to the client?
Correct Answer: D
Rationale: Informing the client about the possible need for reduction of multiple fetuses is key in IVF counseling due to the risk of multiple gestations from transferring multiple embryos.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 3 of 5
What actions should the nurse take?
Correct Answer: A
Rationale: Puncturing the lateral side of the heel is correct, minimizing injury risk while obtaining an adequate blood sample.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 4 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is caring for a client who is postpartum and has a perineal laceration.
Question 5 of 5
What findings place the client at risk for delayed wound healing?
Correct Answer: A
Rationale: Changing the perineal pad only once daily increases infection risk, delaying healing, unlike frequent changes that maintain cleanliness.