ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A client who is pregnant and whose last menstrual cycle started June 21.
Question 1 of 5
Which of the following is the estimated date of delivery in the next year?
Correct Answer: A
Rationale: The estimated date of delivery in the next year can be determined by looking for the last day of March, which is 31st. Since 28-Mar is the closest to the end of March, it is the correct answer.
Choice B, 21-Mar, is too early in March.
Choice C, 4-Apr, is in April.
Choice D, 14-Mar, is also too early in March.
Choices E, F, and G are not provided.
Extract:
An adolescent client who requests a prescription for birth control.
Question 2 of 5
Which of the following questions should the nurse ask?
Correct Answer: B
Rationale: The correct answer is B: What do you know about contraception? This question is important as it assesses the individual's knowledge on preventing unwanted pregnancies. It helps the nurse tailor education and interventions to the individual's needs.
Choice A assumes coercion, not all relationships involve pressure for sex.
Choice C is subjective and not directly related to contraception.
Choice D is judgmental and may discourage open communication.
Choices E, F, and G are not provided, therefore not relevant.
Extract:
A newborn who was born via a forceps-assisted birth.
Question 3 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: D
Rationale: The correct answer is D: Facial asymmetry. Forceps during delivery can cause pressure and trauma to the baby's face, leading to facial asymmetry. The forceps compress one side of the face more than the other, resulting in an uneven appearance. Depressed anterior fontanel (
A) is not typically associated with forceps delivery. Uneven gluteal skinfolds (
B) and epicanthal folds (
C) are not specific indicators of forceps injury. In summary, facial asymmetry is a common finding in babies delivered with forceps due to the pressure exerted on the face during delivery.
Extract:
A client who delivered by cesarean birth 6 hr ago.
Question 4 of 5
The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer 500 mL lactated Ringer's IV bolus. This action is necessary to address potential hypovolemia due to the steady vaginal bleeding. Lactated Ringer's solution helps restore intravascular volume and maintain perfusion. Evaluating urinary output (
A) is important but not the priority when immediate action is needed. Replacing the surgical dressing (
B) is not the first step in managing ongoing bleeding. Applying an ice pack to the incision site (
C) is not indicated and may not address the underlying issue.
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: The correct answer is A: Assist the client in pulling their knees toward their abdomen. This position helps facilitate the delivery of the baby by widening the pelvic outlet, reducing pressure on the perineum, and promoting descent of the fetus. This action also eases the process of childbirth and minimizes the risk of perineal tears.
Choice B is incorrect as pressing firmly on the client's suprapubic area can increase discomfort and is not a recommended practice during labor.
Choice C, moving the client onto their hands and knees, may not be suitable for all women and does not provide the same benefits as pulling knees toward the abdomen.
Choice D, applying pressure to the client's fundus, is not recommended during labor as it can cause complications.