ATI RN
ATI Maternal Newborn Practice Questions Questions
Question 1 of 5
A healthcare provider is preparing to administer an injection of Rho (D) immunoglobulin. The provider should understand that the purpose of this injection is to prevent which of the following newborn complications?
Correct Answer: B
Rationale: Rho (D) immunoglobulin is given to Rh-negative individuals to prevent hemolytic disease of the newborn (HDN) caused by Rh incompatibility between the mother and the fetus. If an Rh-negative mother carries an Rh-positive fetus, there is a risk of sensitization during pregnancy or childbirth. Sensitization can lead to the production of antibodies that may attack Rh-positive red blood cells in future pregnancies, potentially causing severe hemolytic disease in the newborn, including complications like hydrops fetalis. Hydrops fetalis is a condition characterized by severe edema and fetal organ enlargement due to severe anemia and heart failure in the fetus.
Question 2 of 5
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
Correct Answer: A
Rationale: Delegating the task of providing a sitz bath to a client with a fourth-degree laceration and who is 2 days postpartum to the assistive personnel (AP) is appropriate. This task involves assisting the client with personal hygiene and comfort measures that can be safely performed by the AP under the supervision and direction of the nurse. Tasks like observing redness on the breast, monitoring vital signs during admission for gestational hypertension, and changing perineal pads may require a higher level of assessment and nursing judgment, making them more appropriate for the nurse to perform.
Question 3 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 4 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 5 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.