ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
Mother delivered vaginally 2 hr ago, heart rate 106/min, axillary temperature 36.6°C (98.0°F), respiratory rate 22/min, oxygen saturation 94%.
Question 1 of 5
A nurse is caring for a mother who delivered vaginally 2 hr ago. Heart rate 106/min. Axillary temperature 36.6°C (98.0°F). Respiratory rate 22/min. Oxygen saturation 94%. Select the 4 findings the nurse should report to the provider.
Correct Answer: A,B,C,D
Rationale: A: Respiratory issues need evaluation. B: Hemoglobin indicates blood loss. C: Heart rate 106/min suggests tachycardia. D: Constant bleeding indicates hemorrhage.
Extract:
2-day-old septic preterm infant weighing 4300 grams.
Question 2 of 5
A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.
Correct Answer: B
Rationale: Calculation: 4300 g = 4.3 kg; 4.3 kg x 2 mg = 8.6 mg; 8.6 mg ÷ 20 mg/ml = 0.43 ml.
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 3 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:
Mother requiring 3,800 units of Heparin sodium dose subcutaneously.
Question 4 of 5
You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?
Correct Answer: B
Rationale: Calculation: 3,800 units ÷ 10,000 units/5 ml = 1.9 ml.
Extract:
Client 3 weeks postpartum, reporting feeling 'down,' sad, no energy, and wanting to cry.
Question 5 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Assessing for thoughts of harming the newborn is critical to identify severe postpartum depression or psychosis.