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 immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action allows the client to have mementos of their baby and aids in the grieving process. Providing photos can help the client in acknowledging the reality of the loss and facilitate closure.
A: Instructing the client that an autopsy should be performed within 24 hr is not within the nurse's scope of practice and may not be culturally or emotionally appropriate.
B: Informing the client that the law requires them to name the fetus is inaccurate and insensitive.
D: Limiting the amount of time the fetus is in the client's room may not align with the client's emotional needs and can be perceived as callous.
Extract:
A nurse in a prenatal clinic is caring for a group of clients.
Question 3 of 5
The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?
Correct Answer: B
Rationale: The correct answer is B. A client with a previous classical incision has a contraindication for a contraction stress test due to the risk of uterine rupture. The classical incision is a vertical incision on the uterus, increasing the risk of uterine rupture during labor. This poses a significant danger during a contraction stress test, which involves inducing contractions to assess fetal well-being. Clients with gestational diabetes mellitus (choice
A), a history of stillbirth (choice
C), or a nonreactive nonstress test (choice
D) do not have contraindications for a contraction stress test. Gestational diabetes does not affect the safety of the test, while a previous stillbirth and a nonreactive nonstress test actually indicate a need for further assessment of fetal well-being.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 4 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.
Extract:
A nurse is administering a hepatitis B vaccine to a newborn.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the injection into the vastus lateralis muscle. This is the correct action because the vastus lateralis muscle is a recommended site for intramuscular injections in adults due to its large, well-developed muscle mass and lower risk of hitting nerves or blood vessels. Using a 21-gauge needle (choice
A) is not specified for this particular injection and may not be appropriate for all medications. Inserting the needle at a 45° angle (choice
B) is not necessary for the vastus lateralis muscle and may not ensure proper depth of injection. Vigorously massaging the site (choice
D) can cause tissue damage and is not recommended post-injection.