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 providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: A
Rationale: Yellow exudate forming within 24 hours is a normal healing sign with the Plastibell technique, not to be confused with infection.
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).
Question 3 of 5
What should the nurse anticipate?
Correct Answer: D
Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 4 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.
Extract:
The newborn is a male, born at 38 weeks via vacuum-assisted birth. Mother GBS positive, received ampicillin. Initial assessment: weak cry, acrocyanosis, flaccid tone, temp 36.3°C (97 prefixes4°F).
Question 5 of 5
A nurse is assessing the newborn 24 hours later. Based on the exhibits, which findings indicate the newborn's condition is improving, worsening, or unrelated? Options: A. WBC 18,000/mm³, B. Hgb 18 g/dL, C. Hct 55%, D. Glucose 50 mg/dL, E. Temp 36.8°C, F. HR 130/min
Correct Answer: A
Rationale: WBC 18,000/mm³, glucose 50 mg/dL, temp 36.8°C, and HR 130/min improving within normal ranges; Hgb 18 g/dL and Hct 55% unrelated, normal for newborns.