ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Sore nipples often result from poor latch; assessing and correcting it is the priority over limiting feeding or adding formula.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Vital Signs: Blood Pressure 130/72 mm Hg, Heart rate 90/min, Respiratory rate 18/min, Temperature 37°C (98.6°F).
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: B
Rationale: Redness in the extremity indicates worsening DVT due to inflammation; leukocytosis and tachycardia are nonspecific, while decreased edema suggests improvement.
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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The McRoberts maneuver involves flexing the client's hips to widen the pelvis and relieve shoulder dystocia.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 4 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: Epidural opioids commonly cause hypotension due to vasodilation; the other effects are not typical.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 5 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: B
Rationale: Facial palsy is a known complication of forceps-assisted birth due to pressure on the facial nerve. The other options are not directly related to forceps use.