ATI RN
ATI Maternal Newborn Exam 3 Reno 2 2020 Questions
Extract:
Client is 2 hours postpartum following a cesarean birth with a history of thromboembolic disease
Question 1 of 5
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Correct Answer: C
Rationale: Ambulation promotes circulation and prevents venous stasis, reducing the risk of thromboembolism in a client with a history of this condition.
Extract:
Client experienced a vaginal delivery 16 hr ago
Question 2 of 5
A nurse is caring for a client who experienced a vaginal delivery 16 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
Correct Answer: A
Rationale: At 16 hours postpartum, the fundus is typically at the umbilicus level, descending daily thereafter.
Extract:
Infant heelstick procedure
Question 3 of 5
The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone. What approach should the nurse take when performing the test to prevent this complication?
Correct Answer: B
Rationale: The outer heel is safer, avoiding bone penetration and reducing the risk of necrotizing osteochondritis.
Extract:
Infant small for gestational age (SGA) at risk for hypoglycemia
Question 4 of 5
The nurse is caring for an infant who is small for her gestational age (SGA). Which intervention is of highest priority for this infant who is at risk for hypoglycemia?
Correct Answer: A
Rationale: Early breastfeeding provides glucose to prevent hypoglycemia, a critical concern in SGA infants.
Extract:
Newborn receiving hepatitis B virus (HBV) vaccine
Question 5 of 5
The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?
Correct Answer: B
Rationale: A 25-gauge, 5/8-inch needle is appropriate for intramuscular vaccine administration in newborns, typically in the vastus lateralis.