ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing a full-term newborn upon admission to the nursery.
Question 1 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 caring for a client following a vaginal delivery of a term fetal demise.
Question 2 of 5
What statements should the nurse make?
Correct Answer: C
Rationale: Offering to let the mother bathe and dress the baby provides closure and supports grieving, respecting her personal choice in the process.
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 28-year-old female at 12 weeks gestation admitted with excessive vomiting for 48 hours, lost 2.3 kg. Reports unable to keep food/fluids down. Dry mucous membranes, poor skin turgor, amber urine 20 mL/hr.
Question 4 of 5
The nurse is assessing the client 24 hours later. How should the nurse interpret the findings? Options: A. Urine pH 5.0, B. Urine specific gravity 1.050, C. 3+ ketones, D. Urinary output 40 mL/hr, E. HR 130/min, F. WBC 10,000/mm³
Correct Answer: A
Rationale: Urine pH 5.0 and output 40 mL/hr improving (hydration); specific gravity 1.050, 3+ ketones, HR 130/min worsening (dehydration); WBC 10,000/mm³ unrelated (normal range).
Extract:
The client is a gravida 4, para 3, admitted at 28 weeks of gestation with vaginal bleeding for 2 hours, saturating pads with bright red blood. Abdomen soft, nontender, no pain. Fundal height 27 cm. FHR with minimal variability, no decelerations.
Question 5 of 5
Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor: Condition Choices: A. Placenta previa, B. Abruptio placentae, C. Preterm labor, D. Miscarriage; Action Choices: A. Instruct bed rest, B. Prepare for cesarean, C. Administer tocolytics, D. Monitor vital signs every 15 min, E. Prepare for ultrasound; Parameter Choices: A. Fetal heart rate, B. Maternal blood pressure, C. Maternal heart rate, D. Hemoglobin and hematocrit, E. Uterine contractions
Correct Answer: A
Rationale: Placenta previa matches painless bright red bleeding; bed rest prevents further bleeding, cesarean may be needed; monitor FHR and hemoglobin/hematocrit for fetal well-being and blood loss.