ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The McRoberts maneuver involves flexing the client's hips to widen the pelvis and relieve shoulder dystocia.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom promotes spontaneous voiding, the least invasive first step for bladder distention.
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 3 of 5
Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?
Correct Answer: C
Rationale: Increased cramping with breastfeeding indicates uterine contractions, a common pain source post-cesarean, suggesting a need for PRN medication.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Cool, clammy skin suggests hypovolemia or shock, possibly from hemorrhage, requiring immediate reporting.
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.