ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A newborn immediately following birth.
Question 1 of 5
How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, an indication that the client's condition is improving, or an indication that the client's condition is worsening.
| Finding | Unrelated to diagnosis | Indication client's condition is improving | Indication client's condition is worsening |
|---|---|---|---|
| Color: Consistent with genetic background - Unrelated | |||
| Axillary temperature 36.3° C (97.4°F), Reflex irritability: cry - Improving | |||
| Muscle tone: flaccid - Worsening | |||
| Respiration effort: good cry - Improving | |||
| Heart rate 140/min - Improving |
Correct Answer: A,B,C,D,E
Rationale: A: Color consistent with genetic background is unrelated to initial findings, suggesting normal adjustment. B: Normal temperature and cry indicate improvement. C: Flaccid tone suggests worsening, possibly neurological. D: Good cry shows respiratory improvement. E: Normal heart rate (140/min) indicates cardiovascular stability.
Extract:
A client who is at 28 weeks of gestation and has preeclampsia.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Magnesium sulfate, used in preeclampsia, prevents seizures by acting as a CNS depressant, unlike the other options, which are not its primary effects.
Extract:
A new parent about findings that require notification of the newborn's provider.
Question 3 of 5
Which of the following newborn clinical manifestations should the nurse include in the teaching?
Correct Answer: A
Rationale: Yellowed sclera indicates jaundice, requiring provider notification due to potential bilirubin issues, unlike the other normal newborn findings.
Extract:
A client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 4 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: C
Rationale: Tetanus vaccine is safe and recommended during pregnancy to protect both mother and newborn, unlike live vaccines like rubella and varicella, which are contraindicated, or HPV, which is not typically given during pregnancy.
Extract:
A client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Collecting hemoglobin and hematocrit levels first assesses the extent of blood loss in postpartum hemorrhage, guiding subsequent interventions, unlike the other supportive but secondary actions.