ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord.
Question 1 of 5
What clinical findings should the nurse expect?
Correct Answer: A
Rationale: Facial petechiae result from pressure on the face and neck from a nuchal cord, a common finding in such deliveries.
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 2 of 5
What clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: Single palmar creases may indicate genetic conditions like Down syndrome, requiring reporting, unlike normal findings like transient cyanosis.
Extract:
A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.
Question 3 of 5
The nurse realizes that the patient is at risk for which of the following conditions?
Correct Answer: D
Rationale: Rapid labor progression (80% effaced, 8 cm in 1 hour) increases postpartum hemorrhage risk due to potential uterine atony.
Extract:
A nurse is assessing a patient who is 6 hours postpartum and has endometritis.
Question 4 of 5
Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Uterine tenderness is a hallmark of endometritis, an inflammation of the uterine lining often post-delivery.
Extract:
A nurse on the postpartum unit is caring for four patients.
Question 5 of 5
For which of the following patients should the nurse notify the provider?
Correct Answer: C
Rationale: Absent deep tendon reflexes in a patient on magnesium sulfate indicate magnesium toxicity, requiring immediate provider notification.