ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic.
Question 1 of 5
Which of the following findings should the nurse monitor as a potential adverse effect of the medication?
Correct Answer: C
Rationale: Hypotension is a known side effect of epidural analgesia due to sympathetic blockade.
Extract:
A nurse is assessing a term newborn who is 48 hours old. The mother has a history of opioid use during pregnancy and was prescribed methadone.
Question 2 of 5
Based on the findings 24 hours later, how should the nurse interpret the findings?
Correct Answer: C
Rationale: A respiratory rate of 70/min is significantly higher than normal (30-60/min) and could indicate neonatal abstinence syndrome.
Extract:
A nurse is caring for a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 3 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 4 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: The correct answer is B. By asking if the patient notices increased cramping with breastfeeding, the nurse can assess if additional pain medication is needed. This question specifically targets the need for PRN pain medication by focusing on a specific activity that may exacerbate pain.
Choices A, C, and D are unrelated to determining the need for pain medication in this context. Swelling in the feet may indicate other issues, leakage from the incision may suggest infection, and passing gas is not directly related to pain management.
Extract:
A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin.
Question 5 of 5
Which action should the nurse take to best evaluate the client's medication adherence?
Correct Answer: A
Rationale: The correct answer is A: Check the client's serum medication level. By checking the serum medication level, the nurse can directly measure the amount of medication in the client's bloodstream, providing objective evidence of medication adherence. This method is more reliable than asking the client (choice
C) or assessing unrelated parameters like apical pulse rate (choice
B) or kidney function (choice
D). Checking the serum medication level gives a concrete assessment of the client's adherence, helping the nurse make informed decisions about the client's treatment plan.