ATI RN
ATI RN Maternal Newborn 2023 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: C
Rationale: Postpartum changes in pelvic anatomy require refitting a diaphragm. Oil-based lubricants damage diaphragms, it should remain in place for 6 hours post-intercourse, and sterile water is unnecessary for storage.
Extract:
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin.
Question 2 of 5
Which of the following actions should the nurse take to best evaluate the client's medication adherence?
Correct Answer: D
Rationale: Serum digoxin levels provide the most objective measure of adherence and therapeutic range in pregnancy.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy.
Question 3 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Peripartum cardiomyopathy requires fluid restriction to reduce cardiac strain; fluids could worsen heart failure.
Extract:
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Question 4 of 5
Which of the following information should the nurse include?
Correct Answer: B
Rationale: Dark red discoloration suggests complications like ischemia; yellow exudate is normal later, Plastibell falls off in 5-8 days, and tight diapers can cause pressure.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 5 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: C
Rationale: Oxygen saturation of 89% indicates worsening hypoxemia, a critical decline in respiratory status.