ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position.
Question 1 of 5
Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?
Correct Answer: C
Rationale: The correct answer is C: "Has your back labor improved?" This question is the most appropriate to evaluate the effectiveness of the intervention because it directly relates to the specific issue being addressed, which is back labor. By asking about improvement in back labor, the nurse can assess whether the intervention is targeting the problem effectively.
Choice A is incorrect because it focuses on pelvic pressure, which is not the main concern in this situation.
Choice B is incorrect as it pertains to contractions, not back labor.
Choice D is incorrect as it mentions suprapubic pain, which is not the primary focus of the intervention.
Choices E, F, and G are not provided, but they would also be incorrect if they do not target the issue of back labor.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.
Extract:
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: The correct answer is C: Postpartum hemorrhage. This is because postpartum hemorrhage is a common complication after childbirth, especially in clients who have risk factors such as multiple pregnancies, prolonged labor, or history of hemorrhage. It is important for the nurse to be aware of this risk and monitor the client closely.
Choices A, B, and D are conditions related to pregnancy complications but are not specifically mentioned in the question as risks for the client.
Therefore, they are incorrect choices.
Extract:
A nurse is caring for a client who is experiencing a postpartum hemorrhage and has a new prescription for misoprostol. Medication Administration Record: Misoprostol 800 mcg rectally x 1 dose now, Nifedipine 20 mg PO twice daily, Ketorolac 30 mg IV every 6 hr.
Question 4 of 5
The nurse is assessing the client 30 min later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: D
Rationale: The correct answer is D: Fundus firm to palpation. This indicates that the uterus is contracting well, which is important for preventing postpartum hemorrhage. A firm fundus at this time indicates good involution of the uterus.
Choices A, B, and C are indicative of potential issues that would require further assessment and intervention.
Choice A suggests hypotension, B may indicate a urinary tract infection, and C suggests excessive bleeding.
Choice E indicates a higher-than-expected fundal height, which could indicate uterine atony.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 5 of 5
Which of the following clinical findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (
A) is common and usually resolves on its own. Rust-stained urine (
B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (
C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (
D) are associated with Down syndrome and should be reported for further assessment.