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: Tubal ligation blocks the fallopian tubes but doesn't affect ovarian function or hormones, so ovulation continues unchanged.
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 2 of 5
The nurse realizes that the client is at risk for which of the following conditions?
Correct Answer: C
Rationale: Advanced labor (8 cm dilation) increases the risk of postpartum hemorrhage due to rapid delivery or uterine atony, not the other conditions listed.
Extract:
Nurses Notes 0700: Breasts soft nipples intact. Uterus palpated firm, midline, and at level of umbilicus. Moderate amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 2 on a scale of 0 to 10. Able to void spontaneously, no bladder distention. Deep tendon reflexes 1+. Peripheral edema 2+ in bilateral lower extremities. 1100: Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: C, F,G
Rationale: Lateral deviation, large lochia rubra, and soft uterus suggest uterine atony and potential hemorrhage, requiring urgent intervention.
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 4 of 5
After discontinuing the infusion, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Late decelerations indicate fetal hypoxia; oxygen at 10 L/min via nonrebreather improves fetal oxygenation after stopping oxytocin.
Extract:
A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation.
Question 5 of 5
Which of the following findings should the nurse identify as a contraindication to the use of a suppository?
Correct Answer: B
Rationale: A third-degree perineal laceration contraindicates rectal suppositories due to proximity and risk of disrupting healing.