ATI RN
ATI RN Maternal Newborn 2023 II Questions
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise.
Question 1 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the client?
Correct Answer: B
Rationale: The correct answer is B: Scheduled induction of labor. In cases where the health of the mother or fetus is at risk or there are complications during pregnancy, a scheduled induction of labor may be discussed as a treatment option. This allows for controlled delivery, reducing risks associated with prolonged pregnancy. Immediate cesarean birth (
A) is typically reserved for emergencies. Dilation with suction curettage (
C) is a procedure used in cases of incomplete miscarriage, not for managing complications during pregnancy. Administration of methotrexate (
D) is used for medical management of ectopic pregnancies, not for other pregnancy-related issues.
Question 2 of 5
Which of the following treatment options should the nurse anticipate the provider to discuss with the client?
Correct Answer: B
Rationale: The correct answer is B: Scheduled induction of labor. In cases where the health of the mother or fetus is at risk or there are complications during pregnancy, a scheduled induction of labor may be discussed as a treatment option. This allows for controlled delivery, reducing risks associated with prolonged pregnancy. Immediate cesarean birth (
A) is typically reserved for emergencies. Dilation with suction curettage (
C) is a procedure used in cases of incomplete miscarriage, not for managing complications during pregnancy. Administration of methotrexate (
D) is used for medical management of ectopic pregnancies, not for other pregnancy-related issues.
Extract:
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to anticipate a prescription for misoprostol (
Choice
D) for a patient. This is because misoprostol is commonly prescribed in obstetric practice for various indications, such as induction of labor, management of postpartum hemorrhage, and treatment of incomplete abortion. Anticipating this prescription allows the nurse to be prepared for the medication administration process, including understanding the dosage, route of administration, potential side effects, and monitoring requirements.
Choice A is incorrect as obtaining a specimen for a Kleihauer-Betke test is not the immediate action required based on the scenario provided.
Choice B, administering betamethasone IM, is also incorrect as it is not the appropriate action indicated in the situation described.
Choice C, avoiding performing sterile vaginal examinations, is not relevant to the given scenario and does not address the patient's immediate needs.
Extract:
A nurse is assessing a newborn following a forceps-assisted birth.
Question 4 of 5
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Correct Answer: A
Rationale: The correct answer is A: Facial palsy. Facial palsy can occur as a complication of birth trauma, particularly during a difficult delivery such as forceps or vacuum extraction. This can lead to injury of the facial nerve, resulting in weakness or paralysis of the facial muscles. Polycythemia (
B) is an increased number of red blood cells, not typically associated with birth method. Bronchopulmonary dysplasia (
C) is a lung condition primarily seen in premature infants requiring prolonged mechanical ventilation. Hypoglycemia (
D) is low blood sugar levels and can be caused by various factors unrelated to birth method.
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: A
Rationale: The correct action is to turn the client to a side-lying position (
Choice
A) to prevent aspiration in case of vomiting. This position helps maintain airway patency and facilitates drainage.
Choice B is incorrect as it does not address immediate risks.
Choice C is not a priority unless the client is hypoxic.
Choice D is contraindicated in the immediate postpartum period. No further choices provided.