ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
A newborn with signs of diaphoresis, jitteriness, and lethargy.
Question 1 of 5
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaphoresis, jitteriness, and lethargy are classic signs of hypoglycemia in newborns, making obtaining a blood glucose level by heel stick the priority action.
Extract:
A client with irregular uterine contractions that are mild to palpation, FHR 130/min with moderate variability and accelerations, ambulating, took a warm shower, resting in bed, rates pain of contractions at 3/10.
Question 2 of 5
A nurse is caring for a client with irregular uterine contractions that are mild to palpation. FHR is 130/min with moderate variability and accelerations noted. The client has been ambulating in the hallway, took a warm shower, and is now resting in bed. The client rates pain of contractions at 3 on a 0 to 10 scale. What potential condition does the nurse suspect?
Correct Answer: B
Rationale: Dysfunctional labor is characterized by irregular uterine contractions that are mild, as described, and can be managed with ambulation, showers, and rest, fitting the client's symptoms.
Extract:
Client in labor, B Rh-negative, uterine tenderness, variable FHR decelerations, BP 130/82, temperature 37.7°C.
Question 3 of 5
A nurse is caring for a female client in labor in the labor and delivery unit. Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.
Correct Answer: A
Rationale: Variable decelerations and uterine tenderness suggest umbilical cord compression, requiring position changes and continuous fetal monitoring.
Extract:
Client in second trimester, rubella non-immune.
Question 4 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:
Newly licensed nurses learning about preventing TORCH infections.
Question 5 of 5
A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which statement by the nurse indicates understanding of the teaching?
Correct Answer: B
Rationale: Avoiding cat litter prevents toxoplasmosis, a TORCH infection that can cause severe fetal harm.