ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 32-year-old female in postpartum unit, cesarean birth due to preeclampsia, given misoprostol, pale, dizzy, cool/clammy skin, no urine since medication.
Question 1 of 5
The nurse is assessing the client 1 hour later. How should the nurse interpret the findings?
| Findings | condition improving | condition worsening | unrelated to the diagnosis |
|---|---|---|---|
| Fundus 2 cm above umbilicus | |||
| BP 90/60, | |||
| HR 110/min | |||
| Heavy bleeding | |||
| Dizziness | |||
| Cloudy urine |
Correct Answer:
Rationale: Fundus 2 cm above, HR 110/min, heavy bleeding, dizziness worsening (hemorrhage); BP 90/60 improving (post-preeclampsia); cloudy urine unrelated.
Extract:
A newborn, 4 hours old, born at 41 weeks, mother with syphilis and cannabis use, jittery, weak cry, mottled extremities, rapid respirations.
Question 2 of 5
Complete the diagram:
Action to Take
Potential Condition
Parameter to Monitor
Correct Answer: A
Rationale: Neonatal hypoglycemia fits jitteriness and glucose 30 mg/dL; dextrose IV and monitoring glucose correct it; glucose and HR monitor progress.
Extract:
A 36-hour-old male newborn, born at 39 weeks, breastfeeding 3-4 times/day, voided once, no meconium, yellow sclera.
Question 3 of 5
Which of the following findings should the nurse report to the provider? (Select all that apply)
Correct Answer: A, C, D
Rationale: Positive Coombs test, yellow sclera, and no meconium suggest hemolysis, jaundice, and possible obstruction, requiring provider attention.
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 4 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 5 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.