ATI RN
ATI Custom Maternity Final 23D Questions
Extract:
Client 12 hr postpartum, in dependent, taking-in phase
Question 1 of 5
A nurse is collecting data from a client who is 12 hr postpartum. The nurse recognizes the client is in the dependent, taking-in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?
Correct Answer: A
Rationale: In the taking-in phase, mothers often express excitement and focus on their labor experience, being passive and dependent. Appetite is typically increased, learning newborn care comes later in the taking-hold phase, and family focus occurs in the letting-go phase.
Extract:
Client with preeclampsia receiving magnesium sulfate, respiratory rate 8/min
Question 2 of 5
A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Correct Answer: D
Rationale: Respiratory depression (8/min) indicates magnesium sulfate toxicity. Calcium gluconate is the antidote, stabilizing cell membranes and counteracting magnesium's effects. Protamine sulfate, naloxone, and flumazenil treat other overdoses, not magnesium toxicity.
Extract:
Question 3 of 5
What are signs of hypoglycemia in a newborn? Select all that apply.
Correct Answer: A,B,E
Rationale: Tremors, lethargy, and weak cry are signs of hypoglycemia due to low energy affecting muscles, alertness, and vocalization. Hunger may reduce appetite in newborns, and jaundice is unrelated to glucose levels.
Extract:
Newborn
Question 4 of 5
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
Correct Answer: D
Rationale: The umbilical cord typically has two arteries and one vein. The vein carries oxygenated blood to the fetus, and the arteries return deoxygenated blood. Other configurations are rare and often associated with anomalies.
Extract:
Term newborn following cesarean birth, slightly yellow skin
Question 5 of 5
A nurse is admitting a term newborn to the nursery following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?
Correct Answer: A
Rationale: Yellow skin within 24 hours suggests pathologic jaundice, often from blood group incompatibility causing hemolysis and bilirubin rise. Vitamin K deficiency causes bleeding, cocaine abuse unrelated to jaundice, and physiologic jaundice appears later.