ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hours 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, D
Rationale: Vacuum-assisted delivery (
A) can cause trauma leading to increased bleeding, and labor induction with oxytocin (
D) can lead to uterine atony, both increasing hemorrhage risk.
Extract:
A nurse is assessing a client who is 1 hour postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.
Question 2 of 5
What should the nurse do first?
Correct Answer: B
Rationale: Massaging the client's fundus is the priority action to address excessive vaginal bleeding by stimulating uterine contractions.
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
Question 3 of 5
What condition is the newborn most likely experiencing?
Correct Answer: A
Rationale: The symptoms of jitteriness, weak cry, and mottled extremities with acrocyanosis are indicative of hypoglycemia.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Providing the client with photos of the fetus can be a helpful part of the grieving process, based on the family's wishes.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 5 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.