ATI RN
ATI Maternal Newborn 2019 Exam 3 Questions
Extract:
A newborn with laboratory results
Question 1 of 5
A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Platelets of 100,000/mm3 are low, indicating possible thrombocytopenia needing investigation. Hemoglobin, hematocrit, and glucose are within normal newborn ranges.
Extract:
A client who is pregnant and has HIV
Question 2 of 5
A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Bathing the newborn reduces HIV transmission risk before skin-to-skin contact. Stopping antiretrovirals, using scalp electrodes, or giving pneumococcal shots increase risk or are irrelevant.
Extract:
A client who is in preterm labor with a new prescription for terbutaline 0.25 mg subcutaneous
Question 3 of 5
A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?
Correct Answer: D
Rationale: Low BP (88/58 mm Hg) contraindicates terbutaline, which can worsen hypotension. Normal FHR, glucose, and urine output do not require withholding the drug.
Extract:
A postpartum client
Question 4 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify which of the following factors places the client at risk for an infection?
Correct Answer: A
Rationale: Midline episiotomy increases infection risk due to perineal incision. Meconium, hypertension, and previa do not directly elevate postpartum infection risk.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid
Question 5 of 5
A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Cleansing with povidone-iodine prevents infection at the leaking myelomeningocele site, the priority action. Monitoring, antibiotics, or delayed surgery are secondary.