ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a client who is 1 hour postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D). This is because misoprostol is commonly used in obstetrics to induce labor or help with postpartum hemorrhage. Administering betamethasone IM (
Choice
B) is not necessary in this scenario. Avoiding sterile vaginal examinations (
Choice
A) is not recommended as they may be needed for assessing progress in labor. Obtaining a specimen for a Kleihauer-Betke test (
Choice
C) is used to determine the amount of fetal blood in the maternal circulation, but it is not the immediate action required in this situation.
Extract:
A nurse is evaluating a newborn who was born 2 hours ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 2 of 5
Which finding indicates a decline in the newborn's status?
Correct Answer: A
Rationale: An oxygen saturation of 89% is below the normal range for a newborn (above 95%), indicating a decline in status.
Extract:
A nurse is reviewing laboratory findings for a patient who is at 20 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Fasting blood glucose 180 mg/dL (74 to 106 mg/dL). This finding should be reported to the provider because it is above the normal range, indicating hyperglycemia, which may require immediate intervention or adjustment of the treatment plan. Elevated blood glucose levels can lead to complications in diabetic patients.
A: WBC count of 11,000/mm³ is slightly elevated but not significantly outside the normal range, so it may not require immediate reporting unless other symptoms are present.
C: Hematocrit of 37% falls within the normal range, so it does not warrant immediate reporting.
D: Creatinine level of 0.9 mg/dL is within the normal range and does not require immediate reporting.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should assist the client to the bathroom first because it addresses the immediate need for toileting, ensuring comfort and preventing potential accidents. This action promotes the client's autonomy and dignity. Inserting a urinary catheter (
Choice
A) should not be the first step as it's an invasive procedure with potential complications. Offering a sitz bath (
Choice
B) and pouring warm water over the perineum (
Choice
D) are helpful for comfort but do not address the immediate need for toileting.
Extract:
A nurse is providing discharge teaching to a client following a tubal ligation procedure.
Question 5 of 5
Which statement by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the client's understanding that ovulation will not be affected by the teaching. This indicates comprehension of the material because ovulation is a separate process from menstruation.
Choice B is incorrect as menstrual period length is not typically addressed in teaching about ovulation.
Choice C is incorrect because premenstrual tension is not directly related to ovulation.
Choice D is incorrect as hormone replacements following a procedure are not necessarily discussed in the context of ovulation teaching.