ATI RN
ATI Maternal Newborn Practice Questions Questions
Question 1 of 5
A newborn's mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive?
Correct Answer: C
Rationale: In the scenario where a newborn's mother is positive for hepatitis B surface antigen, the infant should receive both hepatitis B immune globulin and hepatitis B vaccine within 12 hours of birth. This is crucial to provide passive and active immunity against the Hepatitis B virus. Hepatitis B immune globulin provides immediate protection by giving passive immunity, while the vaccine stimulates active immunity in the infant. Administering both within 12 hours of birth is important to prevent vertical transmission of the virus.
Question 2 of 5
During an assessment, a nurse is evaluating a pregnant client for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?
Correct Answer: C
Rationale: In the assessment of a pregnant client for preeclampsia, the finding that should indicate to the nurse that the client requires further evaluation for this disorder is an elevated blood pressure (option C). Preeclampsia is characterized by high blood pressure (hypertension) that develops after 20 weeks of pregnancy. Elevated blood pressure is a key indicator of preeclampsia and requires immediate attention to prevent complications for both the mother and the baby. The other options are incorrect: A) Increased urine output: Increased urine output is not typically associated with preeclampsia. In fact, decreased urine output or oliguria is more commonly seen in severe cases of preeclampsia due to reduced kidney function. B) Vaginal discharge: Vaginal discharge is not a typical sign of preeclampsia. Preeclampsia is primarily characterized by hypertension, proteinuria, and sometimes edema. D) Joint pain: Joint pain is not a specific sign of preeclampsia. Preeclampsia symptoms usually involve hypertension, headaches, visual disturbances, and swelling, rather than joint pain. Educationally, understanding the signs and symptoms of preeclampsia is crucial for nurses caring for pregnant clients as early detection and management are essential to prevent serious complications such as eclampsia, seizures, and organ damage. Regular blood pressure monitoring and thorough assessments are critical in identifying preeclampsia promptly.
Question 3 of 5
A healthcare provider in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the provider the presence of intra-abdominal bleeding?
Correct Answer: B
Rationale: Cullen's sign is the presence of periumbilical ecchymosis indicating intra-abdominal bleeding, which can be associated with a ruptured ectopic pregnancy. Chvostek's sign is a facial spasm related to hypocalcemia. Chadwick's sign is a bluish discoloration of the cervix, vagina, and labia during early pregnancy. Goodell's sign is a softening of the cervix in early pregnancy.
Question 4 of 5
A client is being assessed for postpartum infection. Which of the following findings should indicate to the healthcare provider that the client requires further evaluation for endometritis?
Correct Answer: B
Rationale: Pelvic pain is a common symptom of endometritis, which is an infection of the uterine lining. It is an important finding that warrants further evaluation. Localized area of breast tenderness may indicate mastitis, vaginal discharge with a foul odor could suggest a vaginal infection, and hematuria points towards a urinary tract issue, but they are not specific to endometritis.
Question 5 of 5
A woman at 38 weeks of gestation and in early labor with ruptured membranes has an oral temperature of 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?
Correct Answer: C
Rationale: In a pregnant woman with a temperature of 38.9°C (102°F) in early labor with ruptured membranes, assessing the odor of the amniotic fluid is crucial. Foul-smelling or malodorous amniotic fluid could indicate infection, such as chorioamnionitis, which poses risks to both the woman and the fetus. This assessment can help in determining if an infection is present and prompt appropriate interventions. Rechecking the temperature, administering glucocorticoids, or preparing for an emergency cesarean section are not the most immediate or appropriate actions in this scenario.