ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is at 32 weeks of gestation and has placenta previa. The client is exhibiting a large amount of vaginal bleeding.
Question 1 of 5
What actions should the nurse take?
Correct Answer: C
Rationale: Obtaining serial hemoglobin and hematocrit levels monitors blood loss and the need for transfusion, critical in managing placenta previa with significant bleeding.
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 2 of 5
What type of isolation precautions should the nurse initiate for the client?
Correct Answer: C
Rationale: Contact precautions are appropriate for Clostridium difficile, which spreads through direct contact with contaminated surfaces or feces.
Extract:
A 32-year-old female 3 days postpartum via cesarean, reports chills, warm skin, 3+ edema, large lochia rubra, pain 5/10, temp 38.3°C, HR 110/min, BP 140/90.
Question 3 of 5
Which of the following findings require immediate follow-up? (Select all that apply)
Correct Answer: A, B, D, E, G
Rationale: Temp 38.3°C, HR 110/min, BP 140/90, large lochia rubra, and 3+ edema indicate infection, hemorrhage, or DVT, requiring urgent follow-up.
Extract:
A nurse is caring for a client who is in labor.
Question 4 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 5 of 5
Which of the following vaccines should the nurse plan to administer?
Correct Answer: B
Rationale: Tdap is recommended during pregnancy (typically 27-36 weeks) to protect the newborn from pertussis, especially critical if the client lacks prior immunization.