RN ATI MATERNAL NEWBORN PROCTORED EXAM (VERSION 8)

MATERNAL NEWBORN ATI PRACTICE QUESTIONS 1. A nurse is assisting with an amniotomy for a client who is in active labor. Which of the following actions should the nurse take? a. Assess the fetal heart rate before and after the procedure b. Monitor the client’s temperature every 4 hours after procedure c. Medicate the client for pain 30 min prior to the procedure d. Perform cervical assessments every 2 hr after the procedure Rationale: A. The nurse should assess the fetal heart rate for the presence of variable declarations or bradycardia, which can occur after rupturing of the membranes if the umbilical cord has prolapsed. (Amniotomy is artificial rupture of membranes). 2. An adolescent reports abdominal cramping due to dysmenorrhea. Which of the following analgesics should the nurse expect the provider to prescribe? a. Fentanyl b. Acetaminophen and oxycodone c. Acetaminophen and hydrocodone d. Ibuprofen Rationale: D To treat dysmenorrhea, provides prescribe NSAIDs such as ibuprofen and naproxen. Providers also recommend exercise and dietary changes such as reducing salt and sugar intake and following a low-fat, vegetarian diet.