Questions 65

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn 2023 Exam 4 Questions

Extract:

A nurse is caring for a patient who is at 37 weeks of gestation and is being tested for Group B Streptococcus (GBS). The patient is multigravida and multipara with no history of GBS.


Question 1 of 5

Which of the following is an appropriate response by the nurse to the patient's question about why the test was not conducted earlier?

Correct Answer: D

Rationale: GBS testing is typically done between 35-37 weeks of gestation because GBS can come and go in the body, so testing during this time frame predicts its presence at delivery.

Extract:

A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.


Question 2 of 5

Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: Restricting daily oral fluid intake is the correct action. Peripartum cardiomyopathy can lead to fluid overload and heart failure.

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 3 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.

Extract:

A nurse is caring for a client who is one day postpartum and breastfeeding her newborn. The client reports sore nipples.


Question 4 of 5

Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Assessing the newborn's latch while breastfeeding is crucial. A poor latch can cause sore nipples.

Extract:

A nurse is caring for a patient who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding.


Question 5 of 5

After calling for assistance and notifying the provider, which of the following actions should the nurse take next?

Correct Answer: C

Rationale: The immediate next step after noticing a protruding umbilical cord is to perform a vaginal examination and apply upward pressure on the presenting part to relieve cord compression.

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