ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administering a lactated Ringer's bolus restores fluid volume and stabilizes blood pressure due to persistent bleeding, addressing the immediate concern of fluid loss.
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 2 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: D
Rationale: Tetanus vaccination (Tdap) is safe and recommended during pregnancy to prevent maternal and neonatal tetanus. HPV, rubella, and varicella vaccines are contraindicated due to lack of safety data or live virus content.
Extract:
A nurse is reviewing the medical record of a newborn who is 24 hr old.
Question 3 of 5
Which of the following findings requires intervention?
Correct Answer: C
Rationale: Central cyanosis indicates poor oxygenation, requiring immediate intervention. Other findings are within normal newborn limits.
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.
Extract:
A nurse is planning care for a client who is 12 hr postpartum and has a third-degree perineal laceration.
Question 5 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Witch hazel pads reduce swelling and discomfort, aiding healing in third-degree lacerations. Warm packs may worsen swelling, and nerve blocks or hydrogels are not routine.