ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Client in second trimester, rubella non-immune.
Question 1 of 5
A nurse is caring for a client during the second trimester of pregnancy. After reviewing the client's blood work, the nurse notes the client is rubella non-immune. When should the client be offered the rubella immunization?
Correct Answer: D
Rationale: Rubella vaccine, a live virus, is contraindicated during pregnancy and should be administered postpartum to ensure immunity before future pregnancies.
Extract:
Four newborns in a special care nursery: 8-hour-old with blue coloring of hands and feet, newborn with small raised pearly spots on nose, newborn with apical heart rate of 140 bpm, newborn with nasal flaring and grunting.
Question 2 of 5
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?
Correct Answer: D
Rationale: Nasal flaring and grunting indicate respiratory distress, requiring immediate intervention to ensure the newborn's airway and breathing are supported.
Extract:
Client at 6 weeks gestation requesting to hear fetal heartbeat.
Question 3 of 5
A client, at 6 weeks gestation, arrives at the OB clinic for her initial visit and requests to hear the fetal heartbeat. What should the nurse include in the teaching regarding cardiac development?
Correct Answer: B
Rationale: The fetal heartbeat is detectable by external Doppler around 10-12 weeks, when it is strong enough for detection.
Extract:
Nurse screening for postpartum depression (PPD).
Question 4 of 5
The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.
| Observation | Postpartum Depression | Postpartum Blues |
|---|---|---|
| Major differences occur within the first two weeks postpartum | ||
| Symptoms disappear without medical intervention | ||
| Unable to safely care for self and/or baby | ||
| May require antidepressants | ||
| Occurs within the first 12 months postpartum |
Correct Answer: A,B,C,D,E
Rationale: Postpartum blues resolve within two weeks and require no intervention, while PPD can persist up to 12 months, impair self/baby care, and may need antidepressants.
Extract:
Nurse hears fetal heart rate dropping, interprets monitor strip.
Question 5 of 5
A nurse is walking by a client's room and can hear the fetal heart rate dropping. The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?
Correct Answer: B
Rationale: A sudden drop in fetal heart rate suggests variable decelerations, typically caused by umbilical cord compression.