ATI RN
ATI Maternal Newborn Final Exam moitoso Questions
Extract:
Newborn with hyperbilirubinemia treated with phototherapy.
Question 1 of 5
A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.
Correct Answer: B,D,E,F
Rationale: Indicated: Removing for assessment, maintaining eye mask, repositioning, and reporting sunken fontanels ensure safety and monitor for dehydration. Contraindicated: Lotion can interfere with phototherapy, and feedings every 8 hours are too infrequent.
Extract:
28-year-old, Gravida 3 Para 2, chronic hypertension, gestational diabetes, vacuum-assisted vaginal delivery, boggy fundus, heavy lochia, oxytocin infusion, BP 144/92, temperature 100.4°F.
Question 2 of 5
A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Complete the following sentence using the list of options: The nurse should first address the client's ___ followed by the client's ___.
Correct Answer: A
Rationale: Addressing the boggy fundus first helps control bleeding, followed by managing heavy lochia to prevent hemorrhage.
Extract:
Client at 39 weeks in active labor, SROM 2 hours ago, 7 cm dilated, FHR 145 bpm, moderate variability, absent accelerations, recurrent variable decelerations.
Question 3 of 5
The nurse is caring for a client at 39 weeks gestation in active labor. The client had a spontaneous rupture of membranes 2 hours ago with clear amniotic fluid noted. The client was 7 cm at the time of SROM. The nurse assesses the fetal heart rate monitor and identifies a fetal heart baseline of 145 bpm, with moderate variability, accelerations absent and recurrent variable decelerations. Which of the following interventions should the nurse take?
Correct Answer: A,C,D,E
Rationale: Interventions for recurrent variable decelerations include notifying the provider, repositioning to the left lateral position, performing a vaginal exam for cord prolapse, and providing an IV fluid bolus to improve perfusion.
Extract:
28-year-old, postpartum day 2, breastfeeding every 3-4 hours, nipple discomfort, no nipple trauma, breasts soft, newborn voided twice, three meconium stools.
Question 4 of 5
A nurse is caring for a 28-year-old postpartum female client in the postpartum unit. Which of the following statements by the client indicates an understanding of the discharge teaching?
Correct Answer: B,D,F
Rationale: Feeding 8-12 times/day, expecting stool color change, and recognizing milk coming in indicate understanding of breastfeeding teaching.
Extract:
Client being assessed for postpartum infection.
Question 5 of 5
A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?
Correct Answer: A
Rationale: Pelvic pain and fatigue suggest endometritis, requiring further evaluation for uterine infection.