ATI RN
ATI RN Maternal Newborn 2023 III Questions
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 1 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.
Extract:
A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns.
Question 2 of 5
What should the nurse include in the policy?
Correct Answer: D
Rationale: Obtaining an imprint of the infant's feet prior to taking him to the nursery is a reliable identification method. Footprints, along with the mother's fingerprints, are taken soon after birth and used throughout the hospital stay, unlike crib cards which can be misplaced or identification bands replaced later.
Extract:
A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 3 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A postpartum nurse is caring for a client and their newborn.
Question 4 of 5
Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?
Correct Answer: D
Rationale: Reviewing the birth experience with others is typical of the taking-in phase, where the mother is passive, dependent, and processes her new role by reflecting on the birth.
Extract:
A nurse is caring for a client who is in labor.
Question 5 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.