ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 1 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: B
Rationale: Tdap is recommended during pregnancy (typically 27-36 weeks) to protect the newborn from pertussis, especially critical if the client lacks prior immunization.
Extract:
A nurse is assessing a client who is in labor and has received epidural analgesia.
Question 2 of 5
What findings should the nurse recognize and document as an adverse effect of epidural analgesia?
Correct Answer: A
Rationale: Hypotension is a known adverse effect of epidural analgesia due to sympathetic nerve blockade causing vasodilation.
Extract:
A nurse is caring for a client experiencing infertility who is requesting in vitro fertilization.
Question 3 of 5
What information should the nurse provide to the client?
Correct Answer: D
Rationale: Informing the client about the possible need for reduction of multiple fetuses is key in IVF counseling due to the risk of multiple gestations from transferring multiple embryos.
Extract:
The client's laboratory results show signs consistent with dehydration and electrolyte imbalances, such as a low potassium level (3.3 mEq/L) and an elevated blood urea nitrogen (BUN) level (28 mg/dL).
Question 4 of 5
Complete the following statement: The client is at risk of developing __ due to the client's __
Correct Answer: A
Rationale: Hyperemesis gravidarum is characterized by severe nausea, vomiting, weight loss, and dehydration during pregnancy. The client's laboratory results, including low potassium (3.3 mEq/L) and elevated BUN (28 mg/dL), indicate dehydration and electrolyte imbalances, which are consistent with this condition.
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 5 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The McRoberts maneuver involves flexing the client's thighs toward the abdomen to widen the pelvic outlet, aiding shoulder dystocia resolution.