ATI RN
ATI RN Maternal Newborn 2023 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: A, C, D
Rationale: Vacuum-assisted delivery, uterine atony, and oxytocin induction increase hemorrhage risk due to trauma or poor uterine tone. HPV and normal birth weight do not.
Extract:
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Trichomoniasis typically causes a malodorous, frothy discharge, not thick white discharge, lesions, or urinary frequency alone.
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: C
Rationale: Washing the face with plain water is safe and appropriate; feeding before bathing risks aspiration, soft mattresses and bumpers increase SIDS risk.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 4 of 5
Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Postpartum changes in pelvic anatomy require refitting a diaphragm. Oil-based lubricants damage diaphragms, it should remain in place for 6 hours post-intercourse, and sterile water is unnecessary for storage.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Amniocentesis is primarily used to detect genetic or congenital disorders, not to determine fetal sex, which is typically assessed via ultrasound. The nurse should clarify the purpose of the procedure.