ATI RN
ATI RN Maternal Newborn 2023 Exam 4 Questions
Extract:
A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis. Respirations are rapid and unlabored.
Question 1 of 5
What condition is the newborn most likely experiencing?
Correct Answer: A
Rationale: The symptoms of jitteriness, weak cry, and mottled extremities with acrocyanosis are indicative of hypoglycemia.
Extract:
A nurse has been monitoring a client who gave birth vaginally 8 hours ago.
Question 2 of 5
Based on the nurse's notes at 0700 and 1100, select the three findings that necessitate immediate follow-up.
Correct Answer: B, C, E
Rationale: A BP of 136/86 mm Hg (
B) suggests possible hypertension, lateral deviation of the uterus (
C) may indicate a full bladder affecting uterine contraction, and large lochia rubra (E) could signal hemorrhage.
Extract:
A nurse is caring for a client who is postpartum following a vaginal birth.
Question 3 of 5
Which analgesic medication should the nurse plan to administer and document in the client's medical record?
Correct Answer: D
Rationale: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAI
D) that is commonly used for postpartum pain management. It is effective for relieving perineal pain and uterine cramping, and it is safe for use in breastfeeding mothers.
Extract:
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
Question 4 of 5
How should the nurse interpret the findings 24 hr later?
Correct Answer: A
Rationale: Decreased extremity edema is a positive sign in a client with DVT, indicating improvement.
Extract:
A nurse at an antepartum clinic is caring for four clients.
Question 5 of 5
Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: Severe vomiting in early pregnancy could be a sign of hyperemesis gravidarum, requiring immediate medical attention.