ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is discussing fertility treatment options with a client and their partner.
Question 1 of 5
Which of the following nonpharmacological treatments should the nurse suggest?
Correct Answer: D
Rationale: Maintaining a healthy weight improves fertility by regulating ovulation. Lubricants can hinder sperm motility, hot baths reduce sperm count, and herbal tea lacks proven fertility benefits.
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in the bassinet, lightly swaddled. The newborn appears jittery with a weak cry when disturbed. The extremities are mottled with acrocyanosis. The respirations are rapid and unlabored.
Question 2 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Monitoring vital signs assesses potential neonatal abstinence syndrome or distress indicated by jitteriness and rapid breathing. Tighter swaddling, oxygen, or immediate notification aren't warranted without further data.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus B-hemolytic (GBS). The client, who is multigravida and multipara with no history of GBS, asks the nurse why the test was not conducted earlier in her pregnancy.
Question 3 of 5
Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Testing at 36-37 weeks determines GBS status at delivery, critical for preventing neonatal infection. Earlier status can change, and symptoms or past history don't dictate timing.
Extract:
A nurse is examining the medical record of a client who gave birth vaginally two days ago and is experiencing constipation.
Question 4 of 5
Which of the following conditions should the nurse recognize as a contraindication for the use of a suppository?
Correct Answer: C
Rationale: A third-degree laceration extends to the anal sphincter, making suppository use risky due to potential injury or infection. Other conditions don't contraindicate suppositories.
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 5 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.