ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and experiences abruptio placenta.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Uterine tenderness. In the context of pregnancy, uterine tenderness may indicate a potential issue such as uterine infection or preterm labor. It is important for the nurse to assess this finding further to ensure the safety of the mother and baby. Hypertension (choice
A) may indicate preeclampsia, fetal tachycardia (choice
C) may suggest fetal distress, and leukorrhea (choice
D) is a common finding in pregnancy.
Choices E, F, and G are not provided.
Extract:
A client who has chosen a diaphragm for birth control.
Question 2 of 5
Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Insert the diaphragm up to 6 hr before intercourse. This instruction is correct because diaphragms should be inserted at least 6 hours before intercourse to allow time for it to be effective in preventing pregnancy. Removing it too soon after intercourse (choice
A) would not provide adequate protection. Washing the diaphragm with detergent soap (choice
C) can damage the diaphragm and increase the risk of infection. Applying a vaginal lubricant (choice
D) may interfere with the diaphragm's effectiveness and should be avoided.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 3 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: The correct answer is A: The client urinates 30 mL/hr. This finding indicates effective voiding as it shows the client is producing an adequate amount of urine, which is a sign of proper kidney function and bladder emptying. 30 mL/hr is within the normal range of urine output (0.5-1 mL/kg/hr).
Choices B, C, and D are incorrect because not feeling the urge to urinate, the uterine fundus position, and a distended bladder do not directly reflect the client's ability to void effectively.
Extract:
A client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Collect hemoglobin and hematocrit levels. This is the first action the nurse should take to assess the client's oxygen-carrying capacity and hydration status. It provides crucial data for determining the client's overall health status. Inserting an indwelling urinary catheter (
B) is not the priority unless indicated. Administering oxygen via face mask (
C) is important, but assessing the client's hemoglobin and hematocrit levels takes precedence. Preparing the client to receive a plasma expander (
D) should only be done after assessing the client's current status.
Extract:
A client who has preeclampsia.
Question 5 of 5
Which of the following actions is the nurse's priority when implementing seizure precautions?
Correct Answer: C
Rationale: The correct answer is C: Pad the side rails of the client's bed. This is the priority because it helps prevent injury during a seizure by providing a soft surface if the client hits the rails. Dimming the lights (
A) and ensuring the call button is within reach (
B) are important but not the priority. Suction equipment (
D) is important for respiratory support post-seizure but not the priority during seizure precautions.