ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Uterine tenderness. This finding is indicative of postpartum endometritis, a common infection after childbirth. Uterine tenderness suggests inflammation of the uterine lining, which can lead to fever and other signs of infection. A high temperature (choice
A) can also be a sign of infection, but uterine tenderness is a more specific finding in this context. WBC count of 9,000/mm3 (choice
B) is within the normal range and does not necessarily indicate infection. Scant lochia (choice
C) refers to minimal postpartum bleeding, which is a normal finding.
Choices E, F, and G are not provided, so they are irrelevant.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 2 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Notify the provider if the end of your baby's penis appears dark red. This is important as it could indicate a complication like infection or inadequate blood flow. A: Yellow exudate is not a normal finding and should be reported immediately. C: The Plastibell is typically removed after a few days, not 4 hours. D: A snug diaper can cause pressure on the circumcision site, leading to complications.
Extract:
"A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago."
Question 3 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 assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Verify that informed consent is obtained prior to administration. This is essential to ensure the client's autonomy and understanding of the treatment. Informed consent is a legal and ethical requirement in healthcare.
A: Allowing medication to reach room temperature is not typically necessary for administration and is not a critical action compared to obtaining informed consent.
C: Placing the client in a semi-Fowler's position after administration is not a standard procedure for most medications and does not directly relate to ensuring the client's understanding and consent.
D: Instructing the client to avoid urinary elimination is not relevant to medication administration and could potentially harm the client if followed.
In summary, option B is the correct choice as it directly pertains to ensuring patient safety and rights during the administration of medication.
Extract:
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Administer broad-spectrum antibiotics. This is essential in the plan of care to treat a suspected infection. Antibiotics can target a wide range of bacteria, covering potential pathogens until specific cultures can identify the causative organism. Cleansing the site with povidone-iodine (
B) is important for local hygiene but does not address systemic infection. Monitoring rectal temperature (
C) is a good assessment measure but does not actively treat infection. Preparing for surgical closure after 72 hr (
D) may be necessary but does not address the immediate need to manage infection.