ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is 2 hr postpartum following a vaginal birth
Question 1 of 5
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: A
Rationale: A fundus displaced to the right suggests a distended bladder pushing the uterus aside, requiring intervention.
Extract:
Question 2 of 5
A nurse is preparing to administer antibiotic X over 20 min. Available is antibiotic X in 50 mL of 0.9% sodium chloride (NSS). The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
Correct Answer: 50
Rationale: Using the formula (volume x drop factor) / time = (50 x 20) / 20 = 50 gtt/min, the infusion rate is correctly calculated.
Extract:
Woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago, vaginal birth, estimated blood loss 1500 ml
Question 3 of 5
A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?
Correct Answer: D
Rationale: Elevated heart rate and low blood pressure with significant blood loss suggest hypovolemic shock, requiring immediate intervention.
Extract:
Newborn immediately following birth
Question 4 of 5
A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?
Correct Answer: A
Rationale: Drying the skin removes amniotic fluid, preventing heat loss through evaporation.
Extract:
Newborn with weak cry, some flexion of arms and legs, active movement and cries to stimulation, heart rate 145, pallor all over
Question 5 of 5
You're assessing the one-minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?
Correct Answer: B
Rationale: Weak cry (1), some flexion (1), active movement (2), heart rate >100 (2), and pallor (0) yield an APGAR score of 6, indicating moderate adaptation.