ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation and has preeclampsia.
Question 1 of 5
The nurse should identify that which of the following findings is indicated with HELLP syndrome?
Correct Answer: D
Rationale: Elevated AST (80 units/L) indicates liver dysfunction, a key feature of HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) in preeclampsia.
Extract:
A nurse is preparing to administer phytonadione 0.5 mg to a newborn.
Question 2 of 5
Which of the following routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The vastus lateralis muscle in the thigh is the preferred site for IM injections in newborns due to its size and accessibility. Phytonadione (Vitamin K) is administered IM, not subcutaneously, and the deltoid is not used in newborns.
Extract:
A nurse is caring for a client who has a placenta previa.
Question 3 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Painless vaginal bleeding is a hallmark of placenta previa due to placental disruption near the cervix. Painful or rigid findings suggest other conditions like abruptio placentae.
Extract:
A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Collecting hemoglobin and hematocrit levels assesses the extent of blood loss first, guiding further interventions for potential postpartum hemorrhage.
Extract:
A nurse is assessing the newborn 24 hr later after a vacuum-assisted vaginal birth. Maternal GBS positive, received ampicillin. Apgar: HR 96/min, weak cry, some flexion, grimace, acrocyanosis, Temp 36.9°C. Labs: WBC 15,000/mm³, Hgb 19 g/dL, Hct 57%, Glucose 44 mg/dL.
Question 5 of 5
How should the nurse interpret the findings? (For each finding, specify if unrelated, improving, or worsening.)
Correct Answer: A
Rationale: A: Flaccid tone (worsening) suggests decline from 'some flexion'. B: Color consistent (unrelated) is normal variation. C: HR 140 bpm (improving) is better than 96/min. D: Temp 36.9°C (unrelated) is stable and normal.