ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Question 1 of 5
Which of the following instructions should the nurse offer?
Correct Answer: D
Rationale: Feeding every 2-3 hours meets newborn nutritional needs. Two to four wet diapers is too few (expect 6+), 5-10 minutes per breast is insufficient, and water isn't needed.
Extract:
A nurse is caring for a patient who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR.
Question 2 of 5
After discontinuing the infusion, what action should the nurse take?
Correct Answer: D
Rationale: Administering oxygen at 10 L/min via a non-rebreather mask increases oxygen availability to the fetus, addressing late decelerations indicating uteroplacental insufficiency. Amnioinfusion treats variable decelerations, supine position worsens blood flow, and pushing is inappropriate during fetal distress.
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 action should the nurse take first?
Correct Answer: D
Rationale: Massaging the fundus is the first step to contract the uterus and control bleeding from atony. Oxygen, oxytocin, and bladder emptying follow if needed.
Extract:
A nurse is admitting a client to the birthing unit who started having contractions an hour ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 4 of 5
What condition is the client at risk for?
Correct Answer: C
Rationale: Rapid labor progress (80% effaced, 8 cm dilated in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony. Other conditions aren't relevant at this stage.
Extract:
A nurse is helping a provider administer a dinoprostone insert to induce labor in a client.
Question 5 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Confirming informed consent ensures the client understands risks and benefits, a critical step before administering dinoprostone. Other options aren't standard protocol.