ATI RN
ATI RN Maternal Newborn 2023 Retake 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: Breast tenderness is a common side effect of clomiphene citrate due to hormonal stimulation. Other options aren't typical adverse effects.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A fasting blood glucose of 180 mg/dL is elevated, suggesting gestational diabetes, which requires reporting. Hematocrit, creatinine, and WBC are within normal ranges for pregnancy.
Extract:
A nurse is caring for a 36-hour-old male newborn who was born at 39 weeks of gestation in the neonatal intensive care unit (NICU). The newborn has been breastfeeding 3 to 4 times per day and has voided once since birth but has not passed meconium stool since birth. The nurse notes that the newborn's sclera appears yellow.
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply.)
Correct Answer: A, C, D, F, G
Rationale: A positive Coombs test suggests hemolysis, yellow sclera indicates jaundice, absent meconium may signal obstruction, and elevated heart/respiratory rates with dry membranes suggest distress or dehydration—all require reporting. Glucose (if normal) and caput succedaneum (benign) don't need immediate attention.
Extract:
A nurse is admitting a client to the birthing unit who started having contractions an hour ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 4 of 5
What condition is the client at risk for?
Correct Answer: C
Rationale: Rapid labor progress (80% effaced, 8 cm dilated in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony. Other conditions aren't relevant at this stage.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis isn't necessary for sex determination; ultrasound is a safer alternative. CVS is earlier, age isn't a restriction, and same-day scheduling isn't appropriate.