ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
The newborn is a male, born at 38 weeks via vacuum-assisted birth. Mother GBS positive, received ampicillin. Initial assessment: weak cry, acrocyanosis, flaccid tone, temp 36.3°C (97 prefixes4°F).
Question 1 of 5
A nurse is assessing the newborn 24 hours later. Based on the exhibits, which findings indicate the newborn's condition is improving, worsening, or unrelated? Options: A. WBC 18,000/mm³, B. Hgb 18 g/dL, C. Hct 55%, D. Glucose 50 mg/dL, E. Temp 36.8°C, F. HR 130/min
Correct Answer: A
Rationale: WBC 18,000/mm³, glucose 50 mg/dL, temp 36.8°C, and HR 130/min improving within normal ranges; Hgb 18 g/dL and Hct 55% unrelated, normal for newborns.
Extract:
A nurse is caring for a client in labor who is experiencing abruptio placentae.
Question 2 of 5
What findings should the nurse expect?
Correct Answer: C
Rationale: Uterine tenderness is a common symptom of abruptio placentae due to the premature separation of the placenta causing uterine irritability.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 3 of 5
What clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome, requiring reporting, unlike normal findings like transient cyanosis.
Extract:
A nurse is caring for a client who has a prescription for metronidazole 250 mg PO three times daily. Available is metronidazole 500 mg tablets.
Question 4 of 5
How many tablet(s) should the nurse plan to administer per dose?
Correct Answer: B
Rationale: Calculation: 250 mg ÷ 500 mg/tablet = 0.5 tablet per dose, ensuring the correct dosage is administered.
Extract:
A 28-year-old female at 15 weeks gestation reports frequent nausea, vomiting, fatigue, weight loss, dizziness, no abdominal pain.
Question 5 of 5
Which of the following findings should the nurse identify as an indication of a potential complication of pregnancy? (Select all that apply)
Correct Answer: A, B, C, D, E
Rationale: Sodium 132 mEq/L, urine specific gravity 1.035, potassium 3.3 mEq/L, HR 106/min, and weight loss indicate hyperemesis gravidarum complications (electrolyte imbalance, dehydration), requiring monitoring.