ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. Vital Signs: Blood Pressure 130/72 mm Hg, Heart rate 90/min, Respiratory rate 18/min, Temperature 37°C (98.6°F).
Question 1 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: B
Rationale: Redness in the extremity indicates worsening DVT due to inflammation; leukocytosis and tachycardia are nonspecific, while decreased edema suggests improvement.
Extract:
A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Fasting glucose of 180 mg/dL indicates possible gestational diabetes, requiring reporting; other values are normal or near-normal.
Extract:
A nurse is caring for a client who is at 33 weeks of gestation. Medical History: Gravida 2 Para 1 Preeclampsia.
Question 3 of 5
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? (Select one representative finding)
Correct Answer: C
Rationale: Positive clonus indicates worsening preeclampsia due to neurologic irritability; low platelets and proteinuria are also concerning but clonus is more acute.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Providing photos aids in the grieving process, as explained in Q11.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 5 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: MRSA requires contact precautions due to transmission via direct contact or contaminated surfaces. The other precautions are for different pathogens.