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 examining the medical record of a client who gave birth vaginally two days ago and is experiencing constipation.
Question 2 of 5
Which of the following conditions should the nurse recognize as a contraindication for the use of a suppository?
Correct Answer: C
Rationale: A third-degree laceration extends to the anal sphincter, making suppository use risky due to potential injury or infection. Other conditions don't contraindicate suppositories.
Extract:
A nurse is assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 3 of 5
What action should the nurse take first?
Correct Answer: D
Rationale: Massaging the fundus is the first step to contract the uterus and control bleeding from atony. Oxygen, oxytocin, and bladder emptying follow if needed.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Turning to a side-lying position (preferably left) improves blood flow and corrects hypotension from epidural anesthesia. Other actions don't address this cause.
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 5 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.