ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation and has preeclampsia.
Question 1 of 5
The nurse should identify that which of the following findings is indicated with HELLP syndrome?
Correct Answer: D
Rationale: Elevated AST (80 units/L) indicates liver dysfunction, a key feature of HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) in preeclampsia.
Extract:
A nurse is assessing a newborn who was born via a forceps-assisted birth.
Question 2 of 5
Which of the following findings should the nurse identify as an injury caused by the forceps?
Correct Answer: C
Rationale: Facial asymmetry can result from forceps pressure causing bruising or nerve injury. Other findings are unrelated to forceps use.
Extract:
A nurse is assessing a postpartum client who delivered vaginally 8 hr ago. Nurses' Notes: 0700: Breasts soft, nipples intact. Uterus firm, midline, at umbilicus. Moderate lochia rubra. Episiotomy well approximated, mild edema, ecchymosis. Pain 2/10. Able to void, no bladder distention. DTR 1+. Peripheral edema 2+ in legs. 1100: Breasts soft, nipples intact. Uterus soft, laterally deviated, 1 cm above umbilicus. Large lochia rubra. Pain 3/10. DTR 1+. Peripheral edema 2+ in legs. Vital Signs: 0700: Temp 36.2°C, Pulse 80/min, RR 16/min, BP 136/82 mmHg, SpO2 99%. 1100: Temp 37.2°C, Pulse 85/min, RR 18/min, BP 136/86 mmHg, SpO2 100%.
Question 3 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: A, D, G
Rationale: A soft uterus (
A) risks postpartum hemorrhage. Large lochia rubra (
D) may indicate bleeding issues. Lateral uterine deviation (G) suggests a full bladder or complication. BP, edema, pain, and soft breasts are within normal limits.
Extract:
A nurse is assessing a client who is 1 hr postpartum.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A boggy fundus indicates uterine atony, a risk for hemorrhage, requiring immediate reporting. Other findings are normal at 1 hr postpartum.
Extract:
A nurse is caring for a client and their newborn.
Question 5 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: Reviewing the birth experience is typical of the taking-in phase, where the mother focuses on her own needs and processing the delivery.