ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is assessing a client for pain following a cesarean birth 24 hours ago.
Question 1 of 5
Which should the nurse ask to determine if a PRN pain medication is needed?
Correct Answer: B
Rationale: Increased cramping with breastfeeding is a common occurrence due to the release of oxytocin, which causes uterine contractions. This can be quite painful and may necessitate PRN pain medication to manage the discomfort.
Extract:
A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Providing the client with a cool sitz bath can help soothe the perineal area, reduce inflammation, and promote healing after a fourth-degree laceration.
Extract:
A nurse is assessing a postpartum client during a follow-up visit.
Question 3 of 5
What was the client's score on the Edinburgh Postnatal Depression Screen?
Correct Answer: B
Rationale: A score of 11 on the EPDS on postpartum day 30 is above the clinical cutoff score of 10, indicating a high risk of postpartum depression.
Extract:
A nurse is caring for a newborn who is 5 days old. The mother used opioids prior to pregnancy and was prescribed methadone during pregnancy. Both the mother and the newborn tested positive for methadone in their urine drug screens. The newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).
Question 4 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, F
Rationale: Maintain a low stimulation environment (
A), weigh daily (
B) to monitor growth, and swaddle with flexed extremities (F) to comfort the infant with NAS.
Extract:
A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia.
Question 5 of 5
Which action should the nurse take?
Correct Answer: C
Rationale: Turning the client to a side-lying position is a recommended intervention for hypotension following epidural anesthesia. This position helps improve venous return to the heart and can help alleviate hypotension by reducing aortocaval compression.