ATI RN
ATI RN Maternal Newborn 2023/24 1st Attempt & Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication requiring immediate medical attention. Cool, clammy skin suggests poor perfusion and potential hemorrhage. Reporting this to the provider promptly can help prevent further complications.
Choices B, C, and D are within the expected range for a postpartum client and do not indicate a need for immediate intervention. Lochia serosa is the normal vaginal discharge after childbirth. A heart rate of 89/min and blood pressure of 120/70 mm Hg are also within normal limits for a postpartum client.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation.
Diagnostic Results:
• Proteinuria 3+, straw-colored urine
• Platelet count 150,000/mm3 (150,000 to 400,000/mm3)
• BUN 18 mg/dL (10 to 20 mg/dL)
Question 2 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
| Findings 24 hr later | Sign of potential worsening condition | Sign of potential improvement | Unrelated to diagnosis |
|---|---|---|---|
| Hematuria | |||
| Proteinuria 2+ | |||
| Leukorrhea | |||
| Positive clonus | |||
| BUN 40 mg/dL | |||
| Platelet count 110,000/mm3 |
Correct Answer:
Rationale:
Correct Answer:
Rationale: Hematuria and Proteinuria 2+ are relevant findings indicating potential worsening conditions. Hematuria suggests possible kidney injury, while Proteinuria 2+ can indicate renal dysfunction. Leukorrhea and Positive clonus are unrelated to the diagnosis and do not provide information on the client's condition 24 hr later. BUN and platelet count are not provided in the table, so they cannot be considered for interpretation at this time.
Extract:
Question 3 of 5
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a 16-hour-old newborn can indicate respiratory distress, which requires immediate attention. Retractions occur when the skin pulls in between the ribs or under the rib cage with each breath, suggesting difficulty breathing. This finding is crucial to report promptly to the provider to ensure the newborn receives appropriate intervention and support. The other choices are incorrect:
B) Acrocyanosis is a common finding in newborns and is due to immature circulation.
C) Overlapping suture lines are normal in newborns and typically resolve over time.
D) A head circumference of 33 cm is within the normal range for a newborn.
Question 4 of 5
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D - Report the client’s condition to the local health department.
Rationale: Reporting the client's HIV positive status to the local health department is crucial for public health surveillance and monitoring. This action helps to prevent the spread of HIV to others and ensures appropriate follow-up care and support for the client. It also allows for contact tracing and identification of potential exposure risks. Additionally, notifying the health department enables them to provide resources and interventions to support the client's health and well-being.
Incorrect
Choices:
A: Administering penicillin G is not the appropriate action for an HIV-positive client at 22 weeks of gestation. Penicillin G is typically used to treat bacterial infections, not HIV.
B: Instructing the client to schedule an annual pelvic examination is important for general health maintenance but is not directly related to the client's HIV status and gestational age.
C: Waiting to start HIV medication until after delivery is not recommended as timely initiation of antiretrov
Question 5 of 5
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, which is a serious postpartum complication requiring immediate medical attention. Cool, clammy skin suggests poor perfusion and potential hemorrhage. Reporting this to the provider promptly can help prevent further complications.
Choices B, C, and D are within the expected range for a postpartum client and do not indicate a need for immediate intervention. Lochia serosa is the normal vaginal discharge after childbirth. A heart rate of 89/min and blood pressure of 120/70 mm Hg are also within normal limits for a postpartum client.