ATI RN
ATI RN Maternal Newborn Updated 2023 Questions
Extract:
A postpartum client who delivered vaginally 8 hr ago.
Question 1 of 5
Select the 3 findings that require immediate follow-up.
Correct Answer: B,C,D
Rationale: Lateral uterine deviation (
B), large lochia rubra (
C), and soft uterine tone (
D) indicate potential hemorrhage or atony, requiring immediate follow-up, unlike the other normal or less urgent findings.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 2 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: Urinating 30 mL/hr is within the normal range (30-60 mL/hr), indicating effective voiding, unlike the other options, which suggest retention or unrelated findings.
Extract:
A newborn who has a myelomeningocele that is leaking cerebrospinal fluid.
Question 3 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Administering broad-spectrum antibiotics prevents infection (e.g., meningitis) due to CSF leakage, a priority over the other options, which are delayed, insufficient, or harmful.
Extract:
A newborn who is 2 hr old.
Question 4 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Jitteriness (
B), hypotonia (
D), and temperature instability (E) are signs of hypoglycemia due to low glucose affecting the nervous system and thermoregulation, unlike abdominal distention (
A) or acrocyanosis (
C), which are unrelated or normal.
Extract:
A postpartum client who recently had an indwelling urinary catheter removed.
Question 5 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: A
Rationale: Urinating 30 mL/hr is within the normal range (30-60 mL/hr), indicating effective voiding, unlike the other options, which suggest retention or unrelated findings.