ATI RN
ATI NUR 207 Maternal Newborn Exam Questions
Extract:
24-hour vaginal postpartum client with a firm fundus, scant lochia, 4th degree laceration, hemoglobin 10.0 gm/dl, hematocrit 30%, breastfeeding.
Question 1 of 5
The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration. Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding. Which medication would the nurse expect to be contraindicated?
Correct Answer: C
Rationale: Carboprost is contraindicated due to side effects like severe diarrhea, risky with a 4th degree laceration.
Extract:
Newborn at risk for HIV, weighing 3000 grams.
Question 2 of 5
Zidovudine oral solution 24 mg/kg PO BID has been ordered for a newborn at risk for HIV. On hand is 3000 grams. Calculate the amount to be administered in ml per dose.
Correct Answer: B
Rationale: Calculation: 3000 g = 3 kg; 3 kg x 24 mg = 72 mg; 72 mg ÷ (50 mg/5 ml) = 1.2 ml.
Extract:
Newborn delivered via cesarean 1 hour ago, jittery, lethargic, poor feeding, poor suck, jaundice, loose stool, bilirubin 15 mg/dL, glucose 45 mg/dL.
Question 3 of 5
Which of the following interventions should the nurse prioritize for this newborn? Select all that apply.
Correct Answer: A,B,D
Rationale: A: Phototherapy treats jaundice. B: IV dextrose corrects hypoglycemia. D: Frequent feeding reduces bilirubin and stabilizes glucose.
Extract:
Client 3 weeks postpartum, reporting feeling 'down,' sad, no energy, and wanting to cry.
Question 4 of 5
A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling 'down' and sad, having no energy, and wanting to cry. Which of the following is a priority action by the nurse?
Correct Answer: A
Rationale: Assessing for thoughts of harming the newborn is critical to identify severe postpartum depression or psychosis.
Extract:
Question 5 of 5
The nurse is teaching the patient about breastfeeding. The nurse knows the following: 1. The hormone responsible for the let-down reflex is:
Correct Answer: A
Rationale: Oxytocin triggers the let-down reflex by causing milk duct contraction, ejecting milk during breastfeeding.