ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse on the postpartum unit is caring for four patients.
Question 1 of 5
For which of the following patients should the nurse notify the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes in a patient on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification.
Extract:
The newborn is a male, born at 38 weeks via vacuum-assisted birth. Mother GBS positive, received ampicillin. Initial assessment: weak cry, acrocyanosis, flaccid tone, temp 36.3°C (97 prefixes4°F).
Question 2 of 5
A nurse is assessing the newborn 24 hours later. Based on the exhibits, which findings indicate the newborn's condition is improving, worsening, or unrelated? Options: A. WBC 18,000/mm³, B. Hgb 18 g/dL, C. Hct 55%, D. Glucose 50 mg/dL, E. Temp 36.8°C, F. HR 130/min
Correct Answer: A
Rationale: WBC 18,000/mm³, glucose 50 mg/dL, temp 36.8°C, and HR 130/min improving within normal ranges; Hgb 18 g/dL and Hct 55% unrelated, normal for newborns.
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 3 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
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 has a placenta previa.
Question 5 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Painless vaginal bleeding is a classic sign of placenta previa, where the placenta covers the cervix, unlike painful conditions like abruptio placentae.