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 correct action is D: Assist the client in pulling their knees toward their abdomen. This helps facilitate the delivery of the baby by opening up the pelvis and promoting the descent of the fetus. Moving the client onto their hands and knees (
A) may help in certain situations but is not as effective as D. Applying pressure to the fundus (
B) can cause complications. Pressing on the suprapubic area (
C) may not be helpful in this situation.
Therefore, option D is the most appropriate choice to assist in the birthing process.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 2 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Breast tenderness is a common adverse effect of hormonal medications like oral contraceptives. It occurs due to hormonal fluctuations and can be bothersome for some individuals. Tinnitus (
B), urinary frequency (
C), and chills (
D) are not typically associated with the side effects of oral contraceptives. Tinnitus is more commonly associated with ototoxic medications, urinary frequency may be seen with diuretics, and chills could be a sign of infection or cold exposure.
Therefore, the nurse should include breast tenderness as a potential adverse effect in the teaching plan.
Extract:
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation.
Question 3 of 5
Which of the following statements by a parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because positioning the car seat at a 45-degree angle is crucial for the safety of the baby. This angle helps prevent the baby's head from falling forward and restricting their airway.
Choices A, B, and C are incorrect because a car seat challenge test is not related to understanding teaching, using a sleep sack in a car seat may compromise safety, and turning the car seat forward before the recommended age is unsafe.
Extract:
A nurse is assessing a newborn who has neonatal abstinence syndrome.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. In infants, excessive crying can be a sign of discomfort or illness, indicating the need for further assessment by the nurse. Absent Moro reflex (
A) is abnormal and indicates neurological issues. Diminished deep tendon reflexes (
C) and decreased muscle tone (
D) can also be concerning neurological findings. However, excessive crying is a more immediate and urgent concern that requires prompt evaluation and intervention.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 5 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: C, D, E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Labor induction with oxytocin increases the risk of postpartum hemorrhage due to uterine hyperstimulation leading to poor uterine muscle contractions.
D: History of uterine atony indicates weak uterine muscles, which can result in ineffective contraction post-delivery, leading to hemorrhage.
E: Vacuum-assisted delivery can cause trauma to the birth canal and uterus, increasing the risk of postpartum hemorrhage.
Summary of Incorrect
Choices:
A: Newborn weight is not a direct risk factor for postpartum hemorrhage.
B: History of human papillomavirus does not predispose to postpartum hemorrhage.
F, G: No information provided.