ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is providing discharge teaching to a client following tubal ligation.
Question 1 of 5
Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because it shows an understanding of the teaching about the procedure not affecting ovulation. A: Incorrect, as the length of the menstrual period was not discussed. B: Incorrect, as premenstrual tension was not mentioned to change. C: Incorrect, as hormone replacements were not mentioned.
Extract:
A nurse is teaching about home safety with a client who is 2 days postpartum.
Question 2 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Wash your baby's face with plain water. This instruction is important for maintaining good hygiene and preventing skin irritation. Washing with plain water is gentle and safe for a baby's delicate skin.
Choice A is incorrect as bathing immediately after feeding can lead to discomfort and potential choking hazards.
Choice B is incorrect as soft mattresses can increase the risk of Sudden Infant Death Syndrome (SIDS).
Choice D is incorrect as bumper pads pose a suffocation risk for infants.
Extract:
A nurse is assessing a client who is 3 days postpartum.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Cool clammy skin. This finding may indicate poor perfusion or shock, which could be concerning postpartum. The nurse should report this to the provider promptly for further evaluation and intervention.
A: BP 120/70 mm Hg is within normal range for postpartum, so it does not require immediate reporting.
C: Moderate lochia serosa is expected in the early postpartum period, so it is not a concerning finding that requires immediate reporting.
D: Heart rate of 89/min is slightly elevated but not critically high, so it does not necessitate immediate reporting.
In summary, the other choices are not as urgent or abnormal as cool clammy skin, which may indicate a more serious issue requiring prompt attention.
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 4 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.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct action for the nurse to take is turning the client to a side-lying position (
Choice
B). This is essential for preventing aspiration in unconscious or postoperative clients. Turning the client helps maintain airway patency, promotes lung expansion, and prevents complications such as pressure ulcers. Massaging the fundus (
Choice
A) is specific to postpartum care. Applying oxygen (
Choice
C) is not indicated without assessing the client's oxygenation status. Assisting the client to empty their bladder (
Choice
D) is important but not the priority in this scenario.