ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 1 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: C
Rationale: Facial palsy can result from forceps pressure on the facial nerve, a known complication. Other options aren't directly linked to forceps delivery.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Assisting the client to the bathroom is the least invasive first step to encourage natural voiding. Catheterization and other interventions follow if this fails.
Extract:
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Question 3 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 caring for a newborn immediately following birth.
Question 4 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: D
Rationale: Delaying antibiotic ointment facilitates bonding by allowing clear vision for eye contact. Weight, delivery method, and infection monitoring aren't valid reasons for delay.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 5 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: B
Rationale: Checking serum digoxin levels directly assesses adherence by confirming therapeutic range. Kidney function and pulse rate don't measure adherence, and self-reporting may be unreliable.