ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 1 of 5
Which of the following analgesic medications should the nurse plan to administer and document in the client's medical record?
Correct Answer: A
Rationale: Ibuprofen is safe and effective for postpartum pain; aspirin increases bleeding risk, and opioids like meperidine are less preferred.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Providing photos supports grieving and memory-making after a stillbirth; naming isn't legally required, and time with the fetus should be based on client preference.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 3 of 5
The nurse should monitor for which of the following findings as an adverse effect of the medication?
Correct Answer: B
Rationale: Epidural opioids commonly cause hypotension due to vasodilation; the other effects are not typical.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 4 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the client?
Correct Answer: B
Rationale: Scheduled induction of labor is standard for intrauterine fetal demise at 36 weeks to avoid surgical risks; curettage is for earlier gestations.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 5 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: C
Rationale: Nägele’s Rule: subtract 3 months (May 10) and add 7 days (May 17) from August 10, giving an EDD of May 17.