ATI RN
ATI RN Maternal Newborn 2023 III Questions
Extract:
A nurse is assessing a client who is at 28 weeks of gestation and has a Clostridium difficile infection.
Question 1 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 2 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 3 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.
Extract:
A nurse is planning care for a client who is 1 hr postpartum and has preeclampsia without severe features.
Question 4 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 preparing to administer phytonadione 0.5 mg to a newborn.
Question 5 of 5
What routes should the nurse choose for administration of the medication?
Correct Answer: C
Rationale: The intramuscular route in the vastus lateralis is preferred for phytonadione in newborns due to its large muscle mass and effective absorption.