ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother delivered vaginally 2 hours ago, hemoglobin 9 g/dL, hematocrit 30%, platelets 220,000/mm³, WBC 12,000/mm³, temperature 38.3°C (100.9°F).
Question 1 of 5
A nurse is caring for a mother who delivered vaginally 2 hours ago. Hemoglobin: 9 g/dL (11 to 14 g/dL). Hematocrit: 30% (36 to 43%). Platelets: 220,000/mm³ (150,000 to 400,000/mm³). WBC count: 12,000/mm³ (4,000 to 15,000/mm³). Temperature: 38.3°C (100.9°F). Select the 4 findings the nurse should report to the provider.
Correct Answer: B,D
Rationale: B: Low hemoglobin (9 g/dL) suggests anemia or hemorrhage. D: Constant vaginal bleeding indicates potential postpartum hemorrhage. A and C require specific abnormal data to report.
Extract:
Newborn who is 56 hours old, vital signs: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%.
Question 2 of 5
A nurse is caring for a newborn who is 56 hours old. Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Correct Answer: F
Rationale: High heart rate, respiratory rate, and temperature instability are consistent with Neonatal Abstinence Syndrome.
Extract:
Mother delivered vaginally 2 hours ago, fundus firm at umbilicus, BP 108/64, apical 90, RR 20, temp 98.6°F, sudden heavy lochia saturating chux pad in 5 minutes.
Question 3 of 5
A nurse admits a normal vaginal delivery to the maternity unit 2 hours ago. The patient's fundus is firm at the umbilicus. On admission, her vital signs are BP 108/64, Apical 90, RR 20, and Temp. 98.6°F. Suddenly, her lochia appears to be heavy, saturating the entire chux pad within 5 minutes. At this time, the nurse's first priority action is:
Correct Answer: D
Rationale: Massaging the fundus promotes uterine contraction, addressing heavy lochia to control bleeding.
Extract:
Parents of a 24-week preemie in NICU, intubated, receiving mechanical ventilation, TPN, IV fluids, and medications.
Question 4 of 5
The parents of a 24-week preemie who is in the neonatal intensive care unit (NICU) are visiting their baby. The newborn is intubated, receiving mechanical ventilation, TPN, intravenous fluids and medications, and is being monitored electronically by various devices. What action by the nurse would be the most appropriate at this time?
Correct Answer: D
Rationale: Encouraging breast milk pumping empowers parents and supports future enteral feeding for the preemie.
Extract:
Postpartum client who had a cesarean section 4 days ago.
Question 5 of 5
The nurse is reviewing discharge instructions with the postpartum client who had a cesarean section 4 days ago and will include which of the following warning signs to report once she is home?
Correct Answer: A,B,C,D
Rationale: A: Red, tender breast suggests mastitis. B: Fever (100.8°F) may indicate infection. C: Burning on urination suggests UTI. D: Increased lochia rubra may indicate hemorrhage.