ATI RN
ATI Maternal-Newborn 2019 Exam 2 Questions
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 1 of 5
Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: A postpartum client needs a diaphragm refit due to vaginal changes after delivery to ensure effectiveness. Gentle soap is correct but not the priority, the diaphragm should stay in for 6 hours, and oil-based lubricants damage it.
Extract:
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Question 2 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cool, clammy skin is a hallmark of hypovolemic shock due to vasoconstriction compensating for blood loss. A respiratory rate of 18/min is normal, bounding pulses are not typical, and urinary output of 30 mL/hr is low but not specific to shock.
Extract:
A nurse is caring for a client who is in labor and just received epidural anaesthesia. The client's blood pressure is 90/50 mm Hg.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Turning the client to their side improves blood flow and corrects hypotension caused by epidural-induced vasodilation. Amnioinfusion is for fetal distress, naloxone is for opioid overdose, and monitoring alone delays intervention.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A fundal height of 38 cm at 32 weeks is excessive, suggesting possible macrosomia or polyhydramnios, common in gestational diabetes, and should be reported. Fasting glucose of 90 mg/dL is normal, 12 fetal movements are reassuring, and nonpitting edema is not immediately concerning.
Extract:
A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. The mother states, 'No, the baby is too tired to be held.'
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Demonstrating how to hold the newborn respects the mother's concerns while promoting safe feeding and bonding, allowing practice to build confidence. Taking the baby to the nursery, insisting on holding, or pushing breastfeeding disregards her preferences and may undermine trust.