ATI RN
ATI RN Maternal Newborn 2023 IV 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 toward her abdomen to widen the pelvic outlet and relieve shoulder dystocia, making it the correct action.
Extract:
A nurse is caring for a client in labor who has herpes simplex virus (HSV) with active lesions.
Question 2 of 5
Which of the following interventions should the nurse plan to implement to prevent the transmission of HSV to the newborn?
Correct Answer: C
Rationale: A cesarean birth prevents neonatal HSV transmission by avoiding contact with active lesions in the birth canal.
Extract:
A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 3 of 5
How many tablet(s) should the nurse plan to administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: 250 mg ÷ 500 mg/tablet = 0.5 tablets per dose, correctly rounded to the nearest tenth with a leading zero.
Extract:
A nurse is assessing the newborn of a client who reports methadone use during pregnancy.
Question 4 of 5
Which of the following manifestations should the nurse expect the newborn to exhibit?
Correct Answer: D
Rationale: Poor feeding is a common sign of neonatal abstinence syndrome (NAS) from maternal methadone use, reflecting withdrawal effects on feeding ability.
Extract:
A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Late decelerations suggest uteroplacental insufficiency. Administering oxygen via face mask increases maternal oxygen levels, improving fetal oxygenation, and is the priority after repositioning.