ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client who is taking an oral contraceptive.
Question 1 of 5
What findings should the client report to the provider immediately?
Correct Answer: D
Rationale: Severe abdominal pain could indicate a serious issue like a blood clot or liver disease, requiring immediate reporting when on oral contraceptives.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 2 of 5
What actions should the nurse plan to take?
Correct Answer: A
Rationale: Assessing for edema monitors for worsening preeclampsia, a critical step in managing this condition postpartum.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12.
Question 3 of 5
Which foods should the nurse recommend?
Correct Answer: C
Rationale: Fortified soy milk is a reliable vitamin B12 source for vegans, unlike plant foods like carrots, citrus fruits, or brown rice which lack it naturally.
Extract:
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood.
Question 4 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.
Extract:
A nurse is caring for a newborn immediately following birth.
Nurse’s Notes (0700 hrs):
• The newborn is a male, born at 38 weeks gestation via vacuum-assisted vaginal birth. The mother has a history of positive group B streptococcus B-hemolytic and received two doses of ampicillin IV bolus during labor.
• The newborn is placed under a radiant warmer.
• Initial assessment shows the newborn is crying weakly.
• The newborn’s skin color is consistent with genetic background but has acrocyanosis.
• Muscle tone is flaccid.
• Reflex irritability is present with a weak cry.
• The newborn’s temperature is 36.3°C (97.4°F).
Vital Signs (0700 hrs):
• Heart rate: 140/min
• Respiratory rate: 60/min
• Axillary temperature: 36.3°C (97.4°F)
• Oxygen saturation: 92%
Laboratory Findings (0700 hrs):
• WBC count: 15,000/mm³ (9,000 to 30,000/mm³)
• Hgb: 19 g/dL (15 to 24 g/dL)
• Hct: 57% (44 to 70%)
• Blood glucose: 44 mg/dL (40 to 60 mg/dL)
Medications (0700 hrs):
• Erythromycin ophthalmic ointment once 1 to 2 hr after birth
• Hepatitis B vaccine 10 mcg/0.5 mL IM once within 24 hr after birth
• Phytonadione 1 mg IM once 1 to 2 hr after birth
Question 5 of 5
A nurse is assessing the newborn 24 hours later. Based on the exhibits provided, which findings indicate that the newborn’s condition is improving, worsening, or unrelated to the diagnosis?
| Findings | condition improving | condition worsening | unrelated to the diagnosis |
|---|---|---|---|
| WBC count 18,000/mm³ | |||
| Hgb 18 g/dL | |||
| Hct 55% | |||
| Blood glucose 50 mg/dL | |||
| . Axillary temperature 36.8°C | |||
| Heart rate 130/min |
Correct Answer:
Rationale: Regurgitation, mottling, RR 70/min, high-pitched cry worsening (NAS symptoms); strabismus unrelated (normal newborn finding).