ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
2-day-old septic preterm infant weighing 4300 grams.
Question 1 of 5
A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.
Correct Answer: B
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg = 8.6 mg; 8.6 mg ÷ 20 mg/ml = 0.43 ml.
Extract:
24-hour vaginal postpartum client with a firm fundus, scant lochia, 4th degree laceration, hemoglobin 10.0 gm/dl, hematocrit 30%, breastfeeding.
Question 2 of 5
The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration. Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding. Which medication would the nurse expect to be contraindicated?
Correct Answer: C
Rationale: Carboprost is contraindicated due to side effects like severe diarrhea, risky with a 4th degree laceration.
Extract:
Mother delivered vaginally 2 hr ago, axillary temperature 36.6°C (98.0°F), heart rate 110/min, respiratory rate 24/min, oxygen saturation 94%.
Question 3 of 5
A nurse is caring for a mother who delivered vaginally 2 hr ago. Axillary temperature 36.6°C (98.0°F). Heart rate 110/min. Respiratory rate 24/min. Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.
Correct Answer: A,B,C,D
Rationale: A: Elevated respiratory rate needs assessment. B: Hemoglobin monitors blood loss. C: Heart rate 110/min indicates tachycardia. D: Constant bleeding suggests hemorrhage.
Extract:
Question 4 of 5
The RN has received a hand-off report. Which client does the RN need to see first?
Correct Answer: B
Rationale: Postpartum hemorrhage is life-threatening and requires immediate assessment to ensure stability.
Extract:
Small for gestational age (SGA) newborn.
Question 5 of 5
When planning the care for a small for gestational age (SGA) newborn, which assessment should the nurse prioritize?
Correct Answer: B
Rationale: SGA newborns are at high risk for hypoglycemia due to low glycogen stores, requiring priority assessment.