ATI RN
ATI RN Maternal Newborn 2023 II 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: A
Rationale: Facial palsy is a known complication of forceps delivery due to pressure on the facial nerve.
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 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Fundal massage is the first step to control postpartum hemorrhage by promoting uterine contraction and reducing bleeding.
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 3 of 5
Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?
Correct Answer: C
Rationale: Increased cramping with breastfeeding indicates uterine contractions, a common pain source post-cesarean, suggesting a need for PRN medication.
Extract:
A nurse is caring for a client who has bladder distention following a vaginal birth.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting to the bathroom promotes spontaneous voiding, the least invasive first step for bladder distention.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 5 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: MRSA requires contact precautions due to transmission via direct contact or contaminated surfaces; droplet and airborne are for respiratory pathogens.