ATI RN Maternal Newborn 2023 III

Extract:

A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.

Question 1 of 5

Which of the following actions should the nurse take?

A. Administer 500 ml lactated Ringer's IV bolus B. Document urinary output C. Replace the surgical dressing D. Notify the healthcare provider

Correct Answer: D

Rationale: Notifying the provider is critical for persistent bleeding post-cesarean, indicating potential hemorrhage requiring urgent intervention.

Extract:

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.

Question 2 of 5

Which of the following client statements indicates understanding of the teaching?

A. I will report joint pain that develops after the immunization to my provider immediately B. I should avoid breastfeeding for 2 weeks following the immunization C. I should avoid becoming pregnant for at least 1 month following the immunization D. I will receive a series of three immunizations and each one will be a month apart

Correct Answer: C

Rationale: Avoiding pregnancy for at least 1 month post-rubella immunization is correct due to the live virus, ensuring fetal safety.

Extract:

A nurse is assessing a newborn who was born via a forceps-assisted birth.

Question 3 of 5

Which of the following findings should the nurse identify as an injury caused by the forceps?

A. Facial asymmetry B. Caput succedaneum C. Cephalohematoma D. Subgaleal hemorrhage

Correct Answer: A

Rationale: Facial asymmetry can result from forceps pressure, a specific injury unlike caput succedaneum or cephalohematoma linked more to vacuum extraction.

Extract:

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.

Question 4 of 5

Which of the following responses by the nurse is appropriate?

A. This medication stabilizes the fetal heart rate B. This medication improves tissue perfusion C. This medication prevents seizures D. This medication increases cardiac output

Correct Answer: C

Rationale: Magnesium sulfate prevents seizures in preeclampsia by its anticonvulsant properties, the primary therapeutic goal.

Extract:

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.

Question 5 of 5

Which of the following actions should the nurse take?

A. Move the client onto their hands and knees B. Apply pressure to the client's fundus C. Assist the client in pulling their knees toward their abdomen D. Press firmly on the client's suprapubic area

Correct Answer: C

Rationale: The McRoberts maneuver involves flexing the client's thighs toward the abdomen to widen the pelvic outlet, aiding shoulder dystocia resolution.

ATI RN Maternal Newborn 2023 III | Nurselytic

Nurselytic

ATI RN

ATI RN