ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cool sitz bath soothes the perineal area, reduces inflammation, and promotes healing for a fourth-degree laceration. Warm compresses may increase swelling, methylergonovine is for uterine bleeding, and povidone-iodine isn't standard care here.
Extract:
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation.
Question 2 of 5
Which of the following food selections has the highest fiber content per cup?
Correct Answer: B
Rationale: Lentils have the highest fiber content per cup (15.6 g) compared to oatmeal (4 g), cabbage (2.2 g), and asparagus (3.7 g), making them the best choice for relieving constipation.
Extract:
A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord.
Question 3 of 5
What clinical findings should the nurse anticipate?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck with a nuchal cord. Other findings aren't associated with this condition.
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 4 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 5 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.