ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.
Question 1 of 5
The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mm³
Correct Answer: A
Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mm³ unrelated (normal range).
Extract:
A nurse manager is revising a policy in the maternal unit to ensure proper identification of newborns.
Question 2 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.
Extract:
A nurse is reviewing the history of a client who is pregnant.
Question 3 of 5
Which of the following clinical data indicates the client is at risk for preterm delivery?
Correct Answer: D
Rationale: A previous cervical cerclage indicates a history of cervical insufficiency, a known risk factor for preterm delivery.
Extract:
A nurse is caring for a newborn with jaundice who has a new prescription for phototherapy.
Question 4 of 5
What actions should the nurse take?
Correct Answer: D
Rationale: Closing the newborn's eyes before applying eyepatches protects them from phototherapy light, preventing potential eye damage.
Extract:
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client.
Question 5 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Verifying informed consent ensures the client understands the procedure's risks and benefits, a legal and ethical requirement before dinoprostone administration.