ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr. ago.
Question 1 of 5
Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)
Correct Answer: C, D, E
Rationale: Oxytocin induction, uterine atony, and vacuum delivery increase hemorrhage risk due to uterine overstimulation or trauma; HPV and normal birth weight do not.
Extract:
A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home.
Question 2 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: Offering a pacifier is safe and can reduce SIDS risk; antibiotic ointment isn't routine, daily baths are unnecessary, and swaddling should flex legs.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 3 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Washing with plain water is safe; soft mattresses and bumpers increase SIDS risk, and bathing post-feeding risks aspiration.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 4 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: D
Rationale: Oxygen saturation of 89% indicates worsening hypoxemia, a critical decline in respiratory status, compared to transient or less specific findings.
Extract:
A nurse is collecting data from a client who is at 30 weeks of gestation.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
Correct Answer: A
Rationale: Flank pain is a classic sign of pyelonephritis, a kidney infection common in pregnancy due to urinary stasis.