ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 1 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A because urinating 30 mL/hr indicates adequate urinary output, suggesting effective voiding. Option B is incorrect as lack of urge to urinate signifies potential urinary retention. Option C is unrelated to voiding effectiveness. Option D indicates a distended bladder, pointing to ineffective voiding.
Extract:
A client who is in labor.
Question 2 of 5
The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer oxygen via a face mask. Late decelerations indicate uteroplacental insufficiency, causing fetal hypoxia. Administering oxygen improves oxygenation to the fetus by increasing maternal oxygen levels. Placing the client in a side-lying position helps improve uteroplacental perfusion. Decreasing IV fluids may further compromise perfusion. Fetal scalp stimulation is used for non-reassuring fetal heart rate patterns, not specifically for late decelerations. Elevating the client's head does not directly address the fetal distress.
Extract:
A client.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial to ensure the client is aware of the risks and benefits of the medication and has given their permission. It upholds the principle of autonomy and protects the client's right to make informed decisions about their healthcare. Placing the client in a semi-Fowler's position (
A) or allowing medication to reach room temperature (
B) are not directly related to ensuring informed consent. Instructing the client to avoid urinary elimination (
C) is unnecessary and could be harmful.
Extract:
A full-term newborn upon admission to the nursery.
Question 4 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate Down syndrome and requires further evaluation. B: Rust-stained urine could indicate hematuria, but it does not require immediate provider notification. C: Transient circumoral cyanosis is common in infants and usually resolves on its own. D: Subconjunctival hemorrhage is usually benign and does not typically necessitate immediate provider notification.
Extract:
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: B
Rationale: The correct answer is B: Uterine tenderness. This finding is indicative of a possible infection or retained products of conception postpartum. Uterine tenderness may suggest endometritis, which requires prompt assessment and treatment. The other choices are incorrect because: A: WBC count within normal range. C: Scant lochia can be normal in the early postpartum period. D: Mild temperature elevation is common postpartum due to hormonal changes.