ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is experiencing an amniotic fluid embolism during labor.
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 prepare to initiate cardiopulmonary resuscitation (CPR) as indicated by the situation's urgency and potential life-threatening nature. CPR is essential in cases of cardiac or respiratory arrest to maintain circulation and oxygenation. Administering ephedrine IV (
Choice
A) is not appropriate without further assessment and may not be indicated in this scenario. Assisting the client to empty their bladder (
Choice
B) is important for comfort but is not the priority over CPR. Assessing for clonus (
Choice
C) is not relevant in an emergency requiring immediate CPR.
Therefore, preparing to initiate CPR (
Choice
D) is the most critical and life-saving action to take in this situation.
Extract:
A client who has chosen a diaphragm for birth control.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Insert the diaphragm up to 6 hr before intercourse. This instruction is correct because diaphragms should be inserted at least 6 hours before intercourse to allow time for it to be effective in preventing pregnancy. Removing it too soon after intercourse (choice
A) would not provide adequate protection. Washing the diaphragm with detergent soap (choice
C) can damage the diaphragm and increase the risk of infection. Applying a vaginal lubricant (choice
D) may interfere with the diaphragm's effectiveness and should be avoided.
Extract:
A client who is at 32 weeks of gestation and has placenta previa exhibiting a large amount of vaginal bleeding.
Question 3 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 obtain serial hemoglobin and hematocrit levels. This is important for monitoring the patient's blood loss and hemodynamic status after childbirth. Serial monitoring helps in early detection of postpartum hemorrhage and guides appropriate interventions. Giving oxytocin 20 units IV bolus (choice
A) is contraindicated as it can cause severe adverse effects like hypotension and cardiac arrhythmias. Performing a fundal massage (choice
B) is a potential intervention for uterine atony but assessing for abdominal tenderness (choice
C) would be more appropriate to identify possible causes of pain.
Therefore, obtaining serial hemoglobin and hematocrit levels is the most appropriate action to assess and manage postpartum hemorrhage effectively.
Extract:
A client in the postpartum unit.
Question 4 of 5
Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
Correct Answer: D
Rationale: During the taking-in phase of postpartum adjustment, the focus is on the mother's own physical recovery and well-being.
Therefore, the most appropriate goal for the nurse to identify during this phase is D: The client will have adequate nutritional intake. This is crucial for the mother's own health and healing after childbirth. Proper nutrition supports her energy levels, helps with tissue repair, and aids in milk production if she chooses to breastfeed. The other choices are not as relevant during this phase. A and B are more related to infant care and safety, which are typically addressed in the later phases of postpartum adjustment. C involves family dynamics, which may be more pertinent in the later postpartum phases when the mother is more emotionally ready to focus on family roles.
Extract:
A client who is in labor and has received epidural analgesia.
Question 5 of 5
Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: The correct answer is A: Hypotension. This is a known adverse effect of epidural analgesia due to sympathetic blockade leading to vasodilation. It can cause decreased blood pressure and compromise perfusion. Polyuria is not a typical effect of epidural analgesia. Fetal heart rate and maternal temperature are not directly related to the adverse effects of epidural analgesia.