ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 1 of 5
The nurse should initiate which of the following types of isolation precautions for the client?
Correct Answer: D
Rationale: C. difficile is transmitted via contact with contaminated surfaces or fecal-oral route, requiring contact precautions (gloves, gown, hand hygiene) to prevent spread.
Extract:
A nurse is caring for a client who is postpartum and has a perineal laceration.
Question 2 of 5
Which of the following findings places the client at risk for delayed wound healing?
Correct Answer: C
Rationale: Changing the perineal pad only once daily increases infection risk due to moisture buildup, delaying healing. Cleaning, approximation, and witch hazel support healing.
Extract:
A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Question 3 of 5
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
Correct Answer: A
Rationale: Irregular contractions not felt by the client may indicate decreased fetal movement, warranting further evaluation. The other findings (reactive NST, no late decelerations, fetal movements) are reassuring.
Extract:
A nurse is assessing a newborn who is 2 hr old.
Question 4 of 5
Which of the following findings is an indication of hypoglycemia? (Select all that apply.)
Correct Answer: D, E
Rationale: Hypotonia (
D) and jitteriness (E) are common signs of hypoglycemia in newborns due to low glucose affecting muscle tone and neurological function. The others are not specific to hypoglycemia.
Extract:
A nurse is caring for a client. Nurses' Notes: Initial visit, 1340: 29-year-old G2P0, positive hCG 2 weeks ago, LMP 7 weeks ago, vomiting daily for 2 weeks, vegetarian, poor protein intake, decreased skin turgor, moist mucous membranes, weight 79.4 kg. Vital Signs: HR 110/min, RR 18/min, BP 104/66 mmHg, Temp 36.6°C, SpO2 99%. Labs: WBC 7,500/mm³, Hgb 10.2 g/dL, Hct 45%, Platelets 360,000/mm³, Na 136 mEq/L, K 3.3 mEq/L, BUN 28 mg/dL, UA: dark amber, SG 1.045.
Question 5 of 5
Click to highlight the findings that require follow-up.
Correct Answer: A, B, C, D, E, F
Rationale: Vomiting (
A), decreased turgor (
B), low Hgb (
C), low potassium (
D), high BUN (E), and dark amber urine with high SG (F) indicate dehydration, anemia, and electrolyte imbalance needing follow-up.