ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is assessing for pain for a client following a cesarean birth 24 hr ago.
Question 1 of 5
Which of the following questions should the nurse ask to determine if a PRN pain medication is indicated?
Correct Answer: C
Rationale: Increased cramping with breastfeeding indicates uterine contractions, a common pain source post-cesarean, suggesting a need for PRN medication.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 2 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: A
Rationale: Facial palsy is a known complication of forceps delivery due to pressure on the facial nerve.
Extract:
A nurse is assessing a newborn who was born 2 hr ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet.
Question 3 of 5
Which of the following findings indicates a decline in the newborn's status?
Correct Answer: D
Rationale: Oxygen saturation of 89% indicates worsening hypoxemia, a critical decline in respiratory status, compared to transient or less specific findings.
Extract:
A nurse is assessing a newborn who was born postterm.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Postterm newborns often have long nails due to extended gestation; they typically have less fat, dry skin, and reduced lanugo.
Extract:
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Postpartum pelvic changes require diaphragm refitting; it should stay in place 6 hours post-intercourse, and oil-based lubricants damage it.