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: The correct answers are A, C, and D. Vacuum-assisted delivery can lead to uterine atony, increasing the risk of postpartum hemorrhage. History of uterine atony is a risk factor itself. Labor induction with oxytocin can cause rapid and prolonged contractions, leading to postpartum hemorrhage.
Choices B and E are not directly related to postpartum hemorrhage risk. Human papillomavirus does not increase the risk, and newborn weight is not a factor in postpartum hemorrhage.
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: A
Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Vital Signs: Blood Pressure 130/72 mm Hg, Heart rate 90/min, Respiratory rate 18/min, Temperature 37°C (98.6°F).
Question 3 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: B
Rationale: The correct answer is B: Redness in the extremity. This finding could indicate a possible infection, specifically cellulitis, which is a common complication post-operatively. Redness is a sign of inflammation and can be associated with warmth, tenderness, and swelling. It is important for the nurse to recognize this early to prevent further complications. Leukocytosis (
A) may be a nonspecific finding and can be present for various reasons. Scant lochia rubra (
C) is a normal finding in the postpartum period. Increased warmth in the extremity (
D) can be concerning for infection or deep vein thrombosis. Tachycardia (E) can be a sign of various conditions, not specifically related to post-operative complications. Decreased extremity edema (F) is a positive finding indicating improved circulation.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 4 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of protein, calcium, and vitamin D, which are important for bone health. Fortified soy milk provides additional nutrients like B12, which is important for nerve function. Raw carrots (
A) lack essential nutrients found in fortified soy milk. Brown rice (
B) lacks the same level of nutrients as soy milk. Fresh citrus fruits (
C) are good sources of vitamin C, but do not provide the same essential nutrients as fortified soy milk.
Extract:
A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10.
Question 5 of 5
Using Nägele’s Rule, which of the following is the client's estimated date of delivery?
Correct Answer: D
Rationale: Using Nägele's Rule, we add 7 days to the first day of the last menstrual period and count forward 3 months. For D: 17-May, the first day would be February 10th (17 - 3 months = February 10th). Adding 7 days gives February 17th. Thus, the estimated delivery date is May 17th.
Choice A (3-May) is too early, B (20-May) is too late, and C (13-May) is also too early based on the calculation method.