ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is planning care for a client in the postpartum unit.
Question 1 of 5
What goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?
Correct Answer: C
Rationale: Adequate nutritional intake is a key goal in the taking-in phase, supporting healing and breastfeeding, aligning with the mother's initial recovery focus.
Extract:
A nurse is caring for a client who is receiving terbutaline to treat preterm labor.
Question 2 of 5
What findings should the nurse identify as a potential adverse effect of this medication?
Correct Answer: A
Rationale: Heart palpitations are a common adverse effect of terbutaline, a beta-adrenergic agonist that increases heart rate.
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 3 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 nurse is caring for a client who is postpartum and has a perineal laceration.
Question 4 of 5
What findings place the client at risk for delayed wound healing?
Correct Answer: A
Rationale: Changing the perineal pad only once daily increases infection risk, delaying healing, unlike frequent changes that maintain cleanliness.
Extract:
A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min.
Question 5 of 5
What actions should the nurse take first?
Correct Answer: B
Rationale: Administering oxygen at 10 L/min addresses potential hypoxia from significant blood loss, indicated by saturating pads every 10-15 minutes, as the first priority.