ATI RN
ATI RN Maternal Newborn 2023 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: The correct answer is D: Maintain a healthy weight. This is because maintaining a healthy weight is a fundamental nonpharmacological treatment that can positively impact various health conditions. Excess weight can contribute to a range of health issues, including cardiovascular disease, diabetes, and joint problems. By suggesting maintaining a healthy weight, the nurse is promoting overall well-being and reducing the risk of developing these health conditions.
Other choices are incorrect because:
A: Taking daily hot baths may provide temporary relief for certain conditions but is not a comprehensive treatment.
B: Using a lubricant during intercourse is specific to addressing sexual discomfort and not a general nonpharmacological treatment.
C: Drinking herbal tea two times daily may have some health benefits, but it is not a primary nonpharmacological treatment for a specific condition.
Extract:
A nurse is caring for a client 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, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen at 10 L/min via nonrebreather facemask. This action is necessary to ensure adequate oxygenation and prevent hypoxia after discontinuing the infusion. High-flow oxygen via a nonrebreather mask can help maintain oxygen saturation levels and support the client's respiratory function.
Choice B, initiating an amnioinfusion, is incorrect as it is not indicated after discontinuing an infusion.
Choice C, instructing the client to bear down and push with contractions, is inappropriate as it is not related to the situation and could potentially be harmful.
Choice D, placing the client in a supine position, is not recommended as it can compromise respiratory function.
Extract:
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic.
Question 3 of 5
The nurse should identify which findings as an adverse effect of the medication?
Correct Answer: D
Rationale: The correct answer is D: Hypotension. This is an adverse effect of the medication because hypotension indicates low blood pressure, which can lead to dizziness, weakness, and fainting. It is important for the nurse to monitor and address hypotension promptly. Polyuria (
A) is increased urination, not typically an adverse effect. Bilateral crackles (
B) indicate fluid in the lungs, not directly related to medication adverse effects. Hyperglycemia (
C) is high blood sugar, more commonly associated with diabetes or corticosteroid use.
Extract:
A nurse is caring for a newborn immediately following birth.
Question 4 of 5
For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
Correct Answer: A
Rationale: The correct answer is A:
To facilitate bonding between the newborn and parent. Instilling antibiotic ointment in the newborn's eyes can disrupt the initial bonding experience between the newborn and parent, as it involves separating the newborn from the parent to apply the ointment. Bonding is crucial for the emotional and psychological development of the newborn. Delaying the instillation allows for uninterrupted bonding time.
Choices B, C, and D are incorrect as they do not directly relate to the bonding process and the timing of antibiotic ointment instillation.
Extract:
A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is to assist the client in pulling their knees toward their abdomen (
Choice
A) to facilitate the delivery of the shoulders during a shoulder dystocia. This maneuver helps to create more space in the birth canal for the baby's shoulder to pass through. Applying pressure to the fundus (
Choice
B) could potentially cause harm to the baby. Pressing firmly on the suprapubic area (
Choice
C) is not an appropriate action during shoulder dystocia. Moving the client onto their hands and knees (
Choice
D) could worsen the situation by altering the position of the baby. It is crucial to choose the action that is evidence-based and designed to resolve the specific issue at hand effectively.