ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 1 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.
Extract:
A nurse is caring for a newborn who is 5 days old. Medical History: History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 2 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, F, G
Rationale: Low stimulation, daily weighing, and swaddling manage NAS symptoms. Naloxone is contraindicated, breastfeeding is safe with methadone, and Ballard screening isn't routine daily.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Fasting glucose of 180 mg/dL indicates possible gestational diabetes, requiring reporting; other values are normal or near-normal.
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 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: Antibiotics prevent infection from CSF leakage in myelomeningocele; surgery is urgent, not delayed.