ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.
Question 1 of 5
Complete the diagram:
Correct Answer: A
Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 2 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.
Extract:
A nurse is administering a 500 mL bolus of lactated Ringer's for a client who is in labor and has a prescription for spinal anesthesia.
Question 3 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: D
Rationale: A blood pressure of 110/70 mm Hg indicates stable hemodynamics, the primary goal of the IV bolus to prevent hypotension from spinal anesthesia.
Extract:
A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs test.
Question 4 of 5
Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The indirect Coombs test detects Rh-positive antibodies in maternal blood, assessing Rh incompatibility risk.
Extract:
The client's laboratory results show signs consistent with dehydration and electrolyte imbalances, such as a low potassium level (3.3 mEq/L) and an elevated blood urea nitrogen (BUN) level (28 mg/dL).
Question 5 of 5
Complete the following statement: The client is at risk of developing __ due to the client's __
Correct Answer: A
Rationale: Hyperemesis gravidarum is characterized by severe nausea, vomiting, weight loss, and dehydration during pregnancy. The client's laboratory results, including low potassium (3.3 mEq/L) and elevated BUN (28 mg/dL), indicate dehydration and electrolyte imbalances, which are consistent with this condition.