ATI RN
ATI Maternity Nur230 Questions
Extract:
Infant's vital signs
Question 1 of 5
A nurse is preparing to measure an infant's vital signs. Which of the following sites should the nurse use to assess the heart rate?
Correct Answer: C
Rationale: The apical pulse at the heart's apex provides the most accurate heart rate assessment in infants.
Extract:
Child who has recovered from an acute crisis episode of sickle cell anemia
Question 2 of 5
A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Frequent fluid intake prevents dehydration, which can trigger sickle cell crises by increasing blood viscosity.
Extract:
Infant diagnosed with spina bifida scheduled for surgical closure of myelomeningocele sac
Question 3 of 5
A nurse is formulating a care plan for an infant diagnosed with spina bifida who is scheduled for a surgical closure of the myelomeningocele sac. Which of the following interventions should be incorporated into the care plan?
Correct Answer: C
Rationale: A latex-free environment is essential due to the high risk of latex allergy in spina bifida patients.
Extract:
Client in preterm labor at 32 weeks of gestation
Question 4 of 5
A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation. Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?
Correct Answer: D
Rationale: Betamethasone is a corticosteroid used to enhance fetal lung maturity in preterm labor.
Extract:
Client who gave birth 2 hr ago with blood pressure 60/50 mm Hg
Question 5 of 5
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. What is the first action the nurse should take?
Correct Answer: A
Rationale: A boggy uterus may indicate uterine atony, a common cause of postpartum hemorrhage and hypotension, requiring immediate assessment.