Questions 65

ATI RN

ATI RN Test Bank

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.

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