ATI RN
ATI RN Maternal Newborn 2023 IV Questions
Extract:
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum bilirubin.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Puncturing the lateral heel minimizes nerve damage and ensures a good blood sample, standard for heel sticks in newborns.
Extract:
A nurse is assessing a client who is 1 hr postpartum.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A boggy fundus indicates uterine atony, a risk for hemorrhage, requiring immediate reporting. Other findings are normal at 1 hr postpartum.
Extract:
A nurse is reviewing the medical record of a newborn who is 24 hr old.
Question 3 of 5
Which of the following findings requires intervention?
Correct Answer: C
Rationale: Central cyanosis indicates poor oxygenation, requiring immediate intervention. Other findings are within normal newborn limits.
Extract:
A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation and has preeclampsia.
Question 4 of 5
The nurse should identify that which of the following findings is indicated with HELLP syndrome?
Correct Answer: D
Rationale: Elevated AST (80 units/L) indicates liver dysfunction, a key feature of HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) in preeclampsia.
Extract:
A nurse is caring for a client in labor who has herpes simplex virus (HSV) with active lesions.
Question 5 of 5
Which of the following interventions should the nurse plan to implement to prevent the transmission of HSV to the newborn?
Correct Answer: C
Rationale: A cesarean birth prevents neonatal HSV transmission by avoiding contact with active lesions in the birth canal.