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: The correct action for the nurse to take is turning the client to a side-lying position (
Choice
B). This is essential for preventing aspiration in unconscious or postoperative clients. Turning the client helps maintain airway patency, promotes lung expansion, and prevents complications such as pressure ulcers. Massaging the fundus (
Choice
A) is specific to postpartum care. Applying oxygen (
Choice
C) is not indicated without assessing the client's oxygenation status. Assisting the client to empty their bladder (
Choice
D) is important but not the priority in this scenario.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to provide the client with a cool sitz bath (
Choice
C). This helps reduce perineal swelling and discomfort postpartum. Administering methylergonovine (
Choice
A) is used to manage postpartum hemorrhage. Applying povidone-iodine (
Choice
B) can cause skin irritation. Applying a warm compress (
Choice
D) may increase perineal swelling.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Anticipate a prescription for misoprostol. This is the correct action because misoprostol is commonly used in obstetrics to induce labor or manage postpartum hemorrhage. The nurse should anticipate this prescription to be prepared to administer it as needed.
Choice A is incorrect as sterile vaginal examinations may be necessary for assessment and care.
Choice C is incorrect as a Kleihauer-Betke test is used to detect fetal-maternal hemorrhage, not typically indicated in this scenario.
Choice D is incorrect as betamethasone is a corticosteroid used for fetal lung maturity, not indicated in this situation.
Extract:
A nurse is caring for a newborn who is 5 days old. Medical History: History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: The correct actions for the nurse to take are A, F, and G.
- A: Maintaining a low stimulation environment is important for newborns to promote rest and decrease stress.
- F: Weighing the newborn daily helps monitor their growth and detect any potential issues early.
- G: Swaddling the newborn with flexed extremities can provide comfort and mimic the womb environment, helping to soothe the baby.
Other choices are incorrect:
- B: Naloxone is not routinely administered to newborns unless specific circumstances warrant it.
- C: Breastfeeding is typically encouraged unless contraindicated by specific circumstances.
- D: Eye contact during feeding is important for bonding and communication between the parent and newborn.
- E: Performing Ballard newborn screening each shift is not necessary and may cause unnecessary stress to the newborn.
Extract:
A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation.
Question 5 of 5
Identify the sequence of actions the nurse should take.
Order the Items
Source Container
Correct Answer: C, A, B, D, E
Rationale: The correct order is C, A, B, D, E. First, instructing the client to empty their bladder helps provide a clearer view of the uterus and fetal position. Next, positioning the client supine with knees flexed and a small rolled towel under one hip promotes optimal visualization and comfort. Palpating the fetal part in the fundus allows for identification of the presenting part.
Then, palpating the fetal parts along both sides of the uterus helps determine the position and presentation accurately. Finally, palpating the fetal part positioned above the symphysis pubis confirms the engagement and descent of the baby.
Choices F and G are not applicable in this context.