ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
New mother who received epidural anesthesia, forceps delivery, anxious and restless at 6 hours postpartum, with a large perineal hematoma and unable to urinate.
Question 1 of 5
A new mother received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours post-partum, the client is anxious and restless. On further assessment, a large perineal hematoma is seen. She is unable to urinate. After notifying the physician, the nurse should plan to:
Correct Answer: A
Rationale: A Foley catheter relieves urinary retention caused by the hematoma, aiding assessment.
Extract:
Small for gestational age (SGA) newborn.
Question 2 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.
Extract:
2-day-old septic preterm infant weighing 4300 grams.
Question 3 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:
Client with painful nipples due to breastfeeding.
Question 4 of 5
A nurse is providing care for a client with painful nipples due to breastfeeding. What intervention is appropriate?
Correct Answer: B
Rationale: Teaching proper latching techniques prevents nipple trauma, addressing the cause of pain.
Extract:
Question 5 of 5
A certified nursing assistant (CNA) reports to the charge nurse. Which client care assignment is appropriate for the CNA?
Correct Answer: A
Rationale: Perineal care is within a CNA's scope, involving basic hygiene tasks.