Questions 53

ATI RN

ATI RN Test Bank

ATI RN Maternal Newborn Updated 2023 Questions

Extract:

A client who has preeclampsia.


Question 1 of 5

Which of the following actions is the nurse's priority when implementing seizure precautions?

Correct Answer: C

Rationale: Padding the side rails prevents injury during a seizure, the priority for safety in preeclampsia, over the other supportive but less immediate actions.

Extract:

A client who is pregnant.


Question 2 of 5

Which of the following clinical data indicates the client is at risk for preterm delivery?

Correct Answer: B

Rationale: A previous cervical cerclage indicates cervical insufficiency, a known risk for preterm delivery, unlike the other normal or unrelated findings.

Extract:

A newborn who has a prescription for a total serum bilirubin.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Puncturing the lateral heel is the correct site for a newborn heel stick to avoid bone injury and ensure adequate blood flow, unlike the other options, which are inappropriate (21-gauge is too large, alcohol irritates, and a warm cloth, not cool, enhances circulation).

Extract:

A client who is in labor.


Question 4 of 5

The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?

Correct Answer: C

Rationale: Administering oxygen via a face mask increases fetal oxygenation to address late decelerations (indicating hypoxia), unlike the other options, which don't directly improve oxygen delivery.

Extract:

Parents of a newborn about the Plastibell circumcision technique.


Question 5 of 5

Which of the following information should the nurse include?

Correct Answer: A

Rationale: Yellow exudate forming within 24 hours is a normal healing sign with Plastibell circumcision, unlike the incorrect options: dark red may not require immediate reporting unless black, the ring falls off naturally in 5-8 days, and a snug diaper risks discomfort.

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