ATI RN
ATI RN Maternal Newborn 2023 III Questions
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 1 of 5
Which of the following actions should the nurse take?
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.
Extract:
A nurse is assessing a newborn of a client who reported methadone use during pregnancy.
Question 2 of 5
What manifestations should the nurse expect the newborn to exhibit?
Correct Answer: B
Rationale: A weak cry is a common symptom of neonatal abstinence syndrome (NAS) in newborns exposed to opioids like methadone in utero.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 3 of 5
What actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a critical step in managing this condition postpartum.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 4 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.
Extract:
A nurse is administering a 500 mL bolus of lactated Ringer's for a client who is in labor and has a prescription for spinal anesthesia.
Question 5 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: D
Rationale: A blood pressure of 110/70 mm Hg indicates stable hemodynamics, the primary goal of the IV bolus to prevent hypotension from spinal anesthesia.