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 postpartum client who just delivered a newborn weighing 4.5 kg (10 lb).
Question 2 of 5
Which of the following signs should the nurse recognize as a potential indication of hemorrhage?
Correct Answer: A
Rationale: A blood pressure of 88/40 mm Hg indicates hypotension, a common sign of significant blood loss such as postpartum hemorrhage, especially after delivering a large newborn which increases risk.
Extract:
A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed.
Question 3 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 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 at 28 weeks of gestation and has a Clostridium difficile infection.
Question 5 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.