ATI RN
ATI RN VATI Maternal Newborn Questions
Extract:
Client in active labor, water broke, baby is breech
Question 1 of 5
A client who is in active labor is admitted to a labor and delivery unit reporting 'My water just broke and my baby is breech.' Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking fetal heart tones is the priority to assess fetal well-being in a breech presentation post-rupture.
Extract:
1-hour-old newborn
Question 2 of 5
A nurse is assessing a 1-hour-old newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Generalized petechiae may indicate a serious condition like a clotting disorder or infection, requiring immediate evaluation.
Extract:
2-day-old newborn with bilirubin level of 14 mg/dL
Question 3 of 5
A nurse is caring for a 2-day-old newborn who has a bilirubin level of 14 mg/dL (1 to 12 mg/dL) and is to begin phototherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Monitoring intake and output ensures hydration and assesses phototherapy effectiveness in reducing bilirubin levels.
Extract:
Client with placenta previa, receiving fetal monitoring
Question 4 of 5
A nurse is assessing a client who has placenta previa and is receiving fetal monitoring. Which of the following clinical findings should the nurse expect?
Correct Answer: B
Rationale: Painless vaginal bleeding is characteristic of placenta previa due to the placenta's location over the cervical os.
Extract:
Newborn
Question 5 of 5
A nurse is assessing a newborn. Which of the following findings indicates a need to check the newborn's blood glucose level for hypoglycemia?
Correct Answer: D
Rationale: Hypotonia is a specific sign of hypoglycemia in newborns, necessitating a blood glucose check to confirm and manage low sugar levels.