ATI RN
ATI RN Maternal Newborn 2023 Retake Questions
Extract:
A nurse is providing discharge instructions to a patient following tubal ligation.
Question 1 of 5
Which statement by the patient indicates an understanding of the teaching?
Correct Answer: A
Rationale: Ovulation will indeed remain the same after a tubal ligation. The procedure blocks or seals the fallopian tubes, preventing egg transport, but the ovaries continue to function normally, producing hormones and releasing eggs. Premenstrual tension persists, menstrual periods aren't affected in length, and hormone replacement isn't required.
Extract:
A nurse is caring for a patient who is 1 hour postpartum and has uterine atony. The patient is exhibiting a large amount of vaginal bleeding.
Question 2 of 5
What action should the nurse take?
Correct Answer: B
Rationale: Misoprostol is a medication that can be used to treat uterine atony by promoting uterine contractions to reduce bleeding. A Kleihauer-Betke test assesses fetal-maternal hemorrhage, not immediate bleeding management; betamethasone is for fetal lung maturity, not atony; and avoiding vaginal exams doesn't address the bleeding.
Extract:
A nurse is calculating the estimated date of delivery for a patient who reports that the first day of her last menstrual period was August 10.
Question 3 of 5
Using Nägele's Rule, what is the patient's estimated date of delivery?
Correct Answer: A
Rationale: Using Nägele's Rule: Add 7 days to August 10 (August 17), subtract 3 months (May 17), and add 1 year if crossing years. The correct date is May 17, 2025, assuming the current year aligns with the question context.
Extract:
A nurse is caring for a patient immediately following the delivery of a stillborn fetus.
Question 4 of 5
What action should the nurse take?
Correct Answer: A
Rationale: Providing photos of the fetus supports memory-making and aids in the grieving process after a stillbirth. An autopsy is optional, time with the fetus should be based on parental wishes, and naming the fetus is not legally required.
Extract:
A nurse is reviewing the medical record of a patient who had a vaginal delivery 3 hours ago.
Question 5 of 5
Which findings place the patient at risk for postpartum hemorrhage? (Select all that apply)
Correct Answer: A, C, D
Rationale: Vacuum-assisted delivery can cause trauma increasing bleeding risk; oxytocin induction can lead to uterine atony; and a history of uterine atony is a direct risk factor. A newborn weight of 2.948 kg is normal, and HPV doesn't affect hemorrhage risk.