ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 1 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.
Extract:
A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 2 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen at 10 L/min via nonrebreather facemask. This action is necessary to ensure adequate oxygenation and prevent hypoxia after discontinuing the infusion. High-flow oxygen via a nonrebreather mask can help maintain oxygen saturation levels and support the client's respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion.
Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful.
Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.
Extract:
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.
Question 3 of 5
Which of the following information should the nurse manager include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.
Extract:
A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.