ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 1 of 5
Which of the following adverse effects should the nurse include?
Correct Answer: A
Rationale: Clomiphene citrate, used to stimulate ovulation, commonly causes breast tenderness due to hormonal changes. The other effects are not typically associated with this medication.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 2 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing photos supports grieving and memory-making after a stillbirth. Autopsies are optional, naming isn't legally required, and time with the fetus should be based on the client's wishes.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A cool sitz bath reduces swelling and pain in a severe perineal laceration; methylergonovine is for uterine tone, not lacerations.
Extract:
A nurse is administering a hepatitis B vaccine to a newborn.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The vastus lateralis is the preferred site for newborn IM injections; a 23-25 gauge needle at 90° is standard, and massage is avoided to prevent irritation.