ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is caring for a client following a vaginal delivery of a term fetal demise.
Question 1 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 nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Magnesium sulfate prevents seizures in preeclampsia by its anticonvulsant properties, the primary therapeutic goal.
Extract:
The newborn is a male, born at 38 weeks via vacuum-assisted birth. Mother GBS positive, received ampicillin. Initial assessment: weak cry, acrocyanosis, flaccid tone, temp 36.3°C (97 prefixes4°F).
Question 3 of 5
A nurse is assessing the newborn 24 hours later. Based on the exhibits, which findings indicate the newborn's condition is improving, worsening, or unrelated? Options: A. WBC 18,000/mm³, B. Hgb 18 g/dL, C. Hct 55%, D. Glucose 50 mg/dL, E. Temp 36.8°C, F. HR 130/min
Correct Answer: A
Rationale: WBC 18,000/mm³, glucose 50 mg/dL, temp 36.8°C, and HR 130/min improving within normal ranges; Hgb 18 g/dL and Hct 55% unrelated, normal for newborns.
Extract:
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.
Question 4 of 5
What responses should the nurse make?
Correct Answer: D
Rationale: Amniocentesis diagnoses genetic disorders, not just fetal sex, which can be determined less invasively via ultrasound, making this the appropriate response.
Extract:
A nurse is administering a 500 mL bolus of lactated Ringer's for a client who is in labor and has a prescription for spinal anesthesia.
Question 5 of 5
Which of the following findings indicates that the IV bolus was effective?
Correct Answer: D
Rationale: A blood pressure of 110/70 mm Hg indicates stable hemodynamics, the primary goal of the IV bolus to prevent hypotension from spinal anesthesia.