ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 1 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 performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation.
Question 2 of 5
Which of the following findings indicates that the client should be referred to a registered dietician?
Correct Answer: A
Rationale: A 10 lb gain by 12 weeks exceeds the recommended 1-4 lb for the first trimester, indicating a need for dietary counseling.
Extract:
A nurse is assessing a newborn whose mother had gestational diabetes mellitus.
Question 3 of 5
The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
Correct Answer: B
Rationale: Jitteriness is a common sign of hypoglycemia in newborns of diabetic mothers due to rapid glucose drop post-birth.
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 4 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 caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Evaluating urinary output assesses for hypovolemia from bleeding, a priority when fundal massage fails.