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 newborn who was born postterm.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Nails extending over the tips of the fingers is a common characteristic of postterm newborns due to extended growth time.
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 3 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 preparing to obtain a blood sample from a newborn's heel.
Question 4 of 5
In what order should the nurse perform the procedure?
Correct Answer: A, B, C, D, E
Rationale: The correct sequence is: 1) Warm the heel (
A), 2) Clean with antiseptic (
B), 3) Puncture the heel (
C), 4) Collect the sample (
D), 5) Apply pressure (E).
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 5 of 5
Which action should the nurse take?
Correct Answer: A
Rationale: If a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage after a cesarean birth, administering a 500 mL lactated Ringer's IV bolus can help increase the client's circulating volume and support her hemodynamic stability.