ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a newborn who was born at 39 weeks of gestation and is 36 hours old. The newborn has a Coombs positive result and a glucose level of 50 mg/dL (40 to 60 mg/dL).
Question 1 of 5
What should the nurse anticipate?
Correct Answer: D
Rationale: A Coombs positive result suggests potential hemolysis, requiring monitoring for jaundice, a common complication.
Extract:
A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed.
Question 2 of 5
Which of the following findings indicates that the client is able to void effectively?
Correct Answer: B
Rationale: Urinating 30 ml/h meets the minimum acceptable output, indicating effective voiding post-catheter removal.
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 3 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:
A nurse is caring for a client who is in labor.
Question 4 of 5
Which of the following findings should prompt the nurse to reassess the client?
Correct Answer: B
Rationale: An urge to have a bowel movement during contractions may signal the baby's head descending into the birth canal, indicating rapid labor progression requiring reassessment.
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.