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ATI RN Maternal Newborn 2023 Exam 4

Total Questions : 65

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Question 1:

A nurse is assessing a client for pain following a cesarean birth 24 hours ago. Which should the nurse ask to determine if a PRN pain medication is needed?

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Question 2:

A nurse is reviewing the prescriptions for a pregnant client who is taking digoxin. Which action should the nurse take to best evaluate the client’s medication adherence?

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Question 3:

A nurse is teaching a client who is experiencing infertility about clomiphene citrate. Which adverse effects should the nurse include?

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Question 4:

A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client in a hands-and-knee position.

Which should the nurse ask to evaluate the effectiveness of this intervention?

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Question 5:

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which action should the nurse take?

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Question 6:

A nurse is caring for a newborn immediately following birth who has a prescription for erythromycin ophthalmic ointment.

The guardian refuses the medication. Which action should the nurse take?

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Question 7:

A nurse is caring for a client who is postpartum following a vaginal birth.

Which analgesic medication should the nurse plan to administer and document in the client’s medical record?

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Question 8:

A nurse is caring for a client who delivered by cesarean birth 6 hours ago.

The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which action should the nurse take?

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Question 9:

A nurse is providing discharge teaching to a postpartum client about caring for their newborn at home. Which of the following statements should the nurse make?

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Question 10:

A nurse is caring for a client who is 12 hr postpartum and has a fourth-degree laceration of the perineum. Which of the following actions should the nurse take?

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Question 11:

A nurse is providing teaching to the guardians of a preterm newborn about temperature instability. Which of the following statements should the nurse make?

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Question 12:

A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?

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Question 13:

A nurse is providing information about newborn security to the parents of a newborn. Which of the following instructions should the nurse provide?

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Question 14:

A nurse is caring for a client who is in the second stage of labor and is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.

Which of the following actions should the nurse take?

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Question 15:

A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation. Which of the following findings indicates that the client should be referred to a registered dietician?

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Question 16:

A nurse is providing discharge teaching to a client following a tubal ligation procedure. Which statement by the client indicates an understanding of the teaching?

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Question 17:

A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

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Question 18:

A nurse is caring for a newborn immediately following birth.

For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?

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Question 19:

A nurse is caring for a client who is one day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?

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Question 20:

A nurse is planning care for a client who is 1 hour postpartum and has peripartum cardiomyopathy.

Which of the following actions should the nurse plan to take?

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Question 21:

A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.

Answer and Explanation

Explanation

Step 1: Instruct the client to empty their bladder. This is important to ensure comfort and accuracy during the procedure.

Step 2: Position the client supine with knees flexed and place a small, rolled towel under one of their hips. This position helps relax the abdominal muscles and displaces the uterus to avoid supine hypotensive syndrome.

Step 3: Palpate the fetal part positioned in the fundus. This helps determine the fetal lie and presentation.

Step 4: Palpate the fetal part positioned above the symphysis pubis. This helps identify the presenting part.

Step 5: Palpate the fetal parts along both sides of the uterus. This helps determine the location of the fetal back and small parts.


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Question 22:

A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?

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Question 23:

“A nurse is caring for a patient who is at 37 weeks of gestation and is being tested for Group B Streptococcus (GBS). The patient is multigravida and multipara with no history of GBS.

She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?”

Answer and Explanation

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Question 24:

“A nurse is caring for a patient who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?”

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Question 25:

“A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa. Which of the following assessment findings requires immediate follow-up?”

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