ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is in labor and has received epidural analgesia.
Question 1 of 5
Which of the following findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: Hypotension is a common adverse effect of epidural analgesia due to sympathetic blockade, unlike the other normal or unrelated findings.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Magnesium sulfate, used in preeclampsia, prevents seizures by acting as a CNS depressant, unlike the other options, which are not its primary effects.
Extract:
A client who has a placenta previa.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Painless, vaginal bleeding is a hallmark of placenta previa due to the placenta's low implantation, unlike the other options, which are unrelated or more indicative of other conditions like abruption.
Extract:
A newborn who has a prescription for a total serum bilirubin.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Puncturing the lateral heel is the correct site for a newborn heel stick to avoid bone injury and ensure adequate blood flow, unlike the other options, which are inappropriate (21-gauge is too large, alcohol irritates, and a warm cloth, not cool, enhances circulation).
Extract:
A client who is in the second stage of labor and is experiencing a shoulder dystocia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Assisting the client to pull their knees toward their abdomen (McRoberts maneuver) widens the pelvic outlet to relieve shoulder dystocia, unlike the other options, which are either incorrect or supplementary actions.