ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A side-lying position improves venous return and blood pressure after epidural-induced hypotension.
Extract:
A nurse is caring for a term newborn who is 48 hr old. Physical Examination: High-pitched cry, Mild tremors when disturbed, Increased muscle tone, Sneezing six times within 1 hr, Excessive sucking, Color: Consistent with genetic background, Excoriation of the chin, Watery stools, Projectile vomiting, Hyperactive Moro reflex.
Question 2 of 5
The nurse is assessing the newborn 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: A continuous high-pitched cry suggests worsening neonatal abstinence syndrome, indicating increased irritability.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Washing the face with plain water is safe and appropriate; feeding before bathing risks aspiration, soft mattresses and bumpers increase SIDS risk.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Informed consent is required for labor induction with dinoprostone, a prostaglandin, due to its risks and benefits.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 5 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: Lateral deviation, large lochia rubra, and soft uterus suggest uterine atony and potential hemorrhage, requiring urgent intervention.