ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Question 1 of 5
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
Correct Answer: B
Rationale: Hypotension (88/40 mm Hg) indicates significant blood loss, a key sign of postpartum hemorrhage, especially after a large newborn delivery increasing uterine stretch risk.
Extract:
A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization.
Question 2 of 5
Which of the following information should the nurse provide to the client?
Correct Answer: A
Rationale: IVF increases the risk of multiple gestations, necessitating discussion about fetal reduction to reduce maternal and fetal risks. Donor oocytes and embryo freezing are options, and sperm is fertilized in vitro, not in utero.
Extract:
A nurse is caring for a client. Nurses' Notes: Initial visit, 1340: 29-year-old G2P0, positive hCG 2 weeks ago, LMP 7 weeks ago, vomiting daily for 2 weeks, vegetarian, poor protein intake, decreased skin turgor, moist mucous membranes, weight 79.4 kg. Vital Signs: HR 110/min, RR 18/min, BP 104/66 mmHg, Temp 36.6°C, SpO2 99%. Labs: WBC 7,500/mm³, Hgb 10.2 g/dL, Hct 45%, Platelets 360,000/mm³, Na 136 mEq/L, K 3.3 mEq/L, BUN 28 mg/dL, UA: dark amber, SG 1.045.
Question 3 of 5
Click to highlight the findings that require follow-up.
Correct Answer: A, B, C, D, E, F
Rationale: Vomiting (
A), decreased turgor (
B), low Hgb (
C), low potassium (
D), high BUN (E), and dark amber urine with high SG (F) indicate dehydration, anemia, and electrolyte imbalance needing follow-up.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 4 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The vastus lateralis muscle in the thigh is the preferred site for IM injections in newborns due to its size and accessibility. Phytonadione (Vitamin K) is administered IM, not subcutaneously, and the deltoid is not used in newborns.
Extract:
A nurse is planning care for a client in the postpartum unit.
Question 5 of 5
Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
Correct Answer: D
Rationale: During the taking-in phase, the focus is on maternal recovery, making adequate nutritional intake a key goal for healing and breastfeeding support.