ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is one day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assess the newborn's latch while breastfeeding. This is important to ensure proper attachment and effective milk transfer, preventing nipple soreness and inadequate milk supply. Option A is incorrect as limiting breastfeeding time can hinder milk production. Option C is incorrect as newborns need frequent feedings. Option D is incorrect as offering formula can interfere with establishing breastfeeding.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.
Question 2 of 5
How should the nurse interpret the findings?
Correct Answer: B
Rationale: A BUN level of 40 mg/dL is higher than normal (7-20 mg/dL), indicating potential kidney dysfunction.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 3 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hours ago.
Question 4 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, D
Rationale: Vacuum-assisted delivery (
A) can cause trauma leading to increased bleeding, and labor induction with oxytocin (
D) can lead to uterine atony, both increasing hemorrhage risk.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.